| NPI | 1417119108 |
|---|---|
| Doing Business As | EAST VALLEY WOMEN'S MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MARIA SEVILLANO Supervisor/ Biller 480-632-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 33219) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-10-15 |