Organization
OBSTETRICS & GYNECOLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH S HARRIS M.D. (OWNER)
(602) 249-1377
Entity
Organization
Contact information
Practice address
6036 N 19TH AVE #401, PHOENIX, AZ 85015
(602) 249-1377
(602) 249-4908
Mailing address
6036 N 19TH AVE #401, PHOENIX, AZ 85015
(602) 249-1377
(602) 249-4908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB2763
MEDICARE RAILROAD GROUP
AZ
Enumeration date
01/03/2008
Last updated
07/11/2008
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