Provider Demographics
NPI:1306601604
Name:ARIZONA MATERNITY AND WOMEN'S CLINIC, INC
Entity type:Organization
Organization Name:ARIZONA MATERNITY AND WOMEN'S CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-440-3136
Mailing Address - Street 1:14961 W BELL RD STE 175
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3220
Mailing Address - Country:US
Mailing Address - Phone:623-547-7205
Mailing Address - Fax:623-243-6733
Practice Address - Street 1:2815 N 91ST AVE STE B105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-4053
Practice Address - Country:US
Practice Address - Phone:623-243-7779
Practice Address - Fax:623-243-6733
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA MATERNITY AND WOMEN'S CLINIC, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty