| NPI | 1881816122 |
|---|---|
| Doing Business As | EAST VALLEY OB GYN |
| Entity Type | Organization |
| Authorized Contact | HEATHER MANGAM Owner 480-461-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 27458) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 27458) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |