Organization
HOLLY K VIGIL DBA A WOMAN'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BERMINGHAM (ADMINISTRATIVE ASSISTANT)
(928) 233-8353
Entity
Organization
Contact information
Practice address
1350 N RIM DRIVE, FLAGSTAFF, AZ 86001
(928) 779-9250
(928) 213-1381
Mailing address
1350 N RIM DRIVE, FLAGSTAFF, AZ 86001
(928) 779-9250
(928) 213-1381
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205817251
PROVIDER NPI
AZ
01
—
17800857984
PROVIDER NPI
AZ
01
—
17800867603
PROVIDER NPI
AZ
01
—
1780672006
PROVIDER NPI
AZ
01
—
1780672089
PROVIDER NPI
AZ
01
—
1891783197
PROVIDER NPI
AZ
Enumeration date
12/22/2006
Last updated
11/16/2010
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