Desert Prairie Gynecology And Obstetrics Pc

LBN: Desert Prairie Gynecology And Obstetrics Pc
Desert Prairie Gynecology And Obstetrics Pc is an health care organization with primary practice located at 1500 N Williamson Ave , Winslow AZ 86047-2736. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Desert Prairie Gynecology And Obstetrics Pc can be contacted via phone (928) 289-3396, or through Pearson, Michael W via phone (928) 289-3396.

Contact Information

Primary practice address
1500 N Williamson Ave Winslow AZ 86047-2736
Phone: (928) 289-3396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Michael W Doctor of Medicine (MD)
Phone: (928) 289-3396

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 13986 Arizona

Profile Details

NPI number 1841330172
LBN Legal business name Desert Prairie Gynecology And Obstetrics Pc
DBA Doing business as
Authorized official Pearson, Michael W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841330172 NPPES
Arizona MEDICAID 271875-04

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