Provider Demographics
NPI:1477703700
Name:ARIZONA MATERNITY AND WOMEN'S CLINIC INC.
Entity Type:Organization
Organization Name:ARIZONA MATERNITY AND WOMEN'S CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-242-9830
Mailing Address - Street 1:PO BOX 29338
Mailing Address - Street 2:DEPT. 1079
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9338
Mailing Address - Country:US
Mailing Address - Phone:623-242-9830
Mailing Address - Fax:623-243-6733
Practice Address - Street 1:14961 W BELL RD
Practice Address - Street 2:STE 175
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3200
Practice Address - Country:US
Practice Address - Phone:623-242-9830
Practice Address - Fax:623-243-6733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4368207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty