| NPI | 1033596770 |
|---|---|
| Doing Business As | 19TH AVE WOMEN'S CENTER |
| Entity Type | Organization |
| Authorized Contact | HOWARD J SIMON CEO 602-242-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |