NPI | 1013190420 |
---|---|
Former Legal Business Name | 222 OB/GYN P.C. |
Entity Type | Organization |
Authorized Contact | NEIL TRACHTENBERG Owner 602-248-8962 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2007-12-07 |
Last Update Date | 2012-02-22 |