Organization
NEW DIRECTION FERTILITY CENTERS
Active
Organization
NEW DIRECTION FERTILITY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H AMOLS MD (MD)
(480) 351-8222
Entity
Organization
Contact information
Practice address
4824 E BASELINE RD, SUITE 132, MESA, AZ 85206-4676
(480) 351-8222
(480) 351-8221
Mailing address
4824 E BASELINE RD, SUITE 132, MESA, AZ 85206-4676
(480) 351-8222
(480) 351-8221
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
44728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528048006
INDIVIDUAL NPI
AZ
Enumeration date
06/04/2014
Last updated
06/04/2014
Update your record
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