Organization
WOMAN AND CHILD HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK D KAZNOSKI M.D. (PRESIDENT)
(928) 854-8100
Entity
Organization
Contact information
Practice address
1851 MESQUITE AVE, SUITE 210, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-8100
(928) 854-8182
Mailing address
1851 MESQUITE AVE, SUITE 210, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-8100
(928) 854-8182
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
AZ32330
AZ
208000000X
Pediatrics Physician
Primary
AZ4026
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212221
—
AZ
Enumeration date
08/09/2006
Last updated
09/11/2025
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