Organization
WESTRIDGE OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA OLIVIA HARRIS (OFFICE MANAGER)
(623) 247-1100
Entity
Organization
Contact information
Practice address
8410 W THOMAS RD BLDG 3, SUITE 134, PHOENIX, AZ 85037-3329
(623) 247-1100
(623) 849-9004
Mailing address
8410 W THOMAS RD BLDG 3, SUITE 134, PHOENIX, AZ 85037-3329
(623) 247-1100
(623) 849-9004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141359
LORENZO C. BOYCE MD
AZ
01
—
154302
ROBERT L. GALLAI
AZ
Enumeration date
06/29/2007
Last updated
04/11/2008
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