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Organization

AZ OBSTETRICS & GYNECOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER A TUMLINSON (ADMINISTRATOR)
(480) 789-1189
Entity
Organization

Contact information

Practice address
1520 S DOBSON RD, SUITE 316, MESA, AZ 85202-4725
(480) 835-1716
(480) 290-7094
Mailing address
1520 S DOBSON RD, SUITE 316, MESA, AZ 85202-4725
(480) 835-1716
(480) 290-7094

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
32889
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
865040
AZ
Enumeration date
09/14/2011
Last updated
09/14/2011
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