Provider Demographics
NPI:1215705553
Name:ADVANCED FERTILITY CARE, LLC
Entity type:Organization
Organization Name:ADVANCED FERTILITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONERAICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-874-2229
Mailing Address - Street 1:9819 N 95TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4588
Mailing Address - Country:US
Mailing Address - Phone:480-874-2229
Mailing Address - Fax:480-874-2231
Practice Address - Street 1:4518 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1282
Practice Address - Country:US
Practice Address - Phone:480-874-2229
Practice Address - Fax:480-874-2231
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED FERTILITY CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty