NPI | 1962422428 |
---|---|
Former Legal Business Name | EAST VALLEY OBSTETRICS AND GYNECOLOGY, PLC |
Entity Type | Organization |
Authorized Contact | DIANE M VON FLUE CFO 480-615-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-08-22 |