| NPI | 1578767851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. IVCHENKO President 480-730-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 15906) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-04-12 |