Provider First Line Business Practice Location Address:
4212 N 16TH ST
Provider Second Line Business Practice Location Address:
OB/GYN DEPARTMENT
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85016-5319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-263-1200
Provider Business Practice Location Address Fax Number:
602-263-1692
Provider Enumeration Date:
06/23/2006