Provider Demographics
NPI:1497020432
Name:JANICE M. LABRANCHE, M.D., P.C.
Entity Type:Organization
Organization Name:JANICE M. LABRANCHE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LABRANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-694-8751
Mailing Address - Street 1:9305 W THOMAS RD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3328
Mailing Address - Country:US
Mailing Address - Phone:623-873-6320
Mailing Address - Fax:623-873-6319
Practice Address - Street 1:9305 W THOMAS RD
Practice Address - Street 2:SUITE 385
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3328
Practice Address - Country:US
Practice Address - Phone:623-873-6320
Practice Address - Fax:623-873-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28362207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ514879Medicaid