Organization
MARICOPA OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIANNE JOHNSON (HIPAA OFFICER)
(623) 551-0192
Entity
Organization
Contact information
Practice address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1674
(602) 230-7982
Mailing address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1674
(602) 230-7982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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