Provider Demographics
NPI:1922234772
Name:ARIZONA WOMEN'S CARE
Entity Type:Organization
Organization Name:ARIZONA WOMEN'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CASTILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-451-8454
Mailing Address - Street 1:9823 N 95TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4585
Mailing Address - Country:US
Mailing Address - Phone:480-451-8454
Mailing Address - Fax:480-451-3466
Practice Address - Street 1:9823 N 95TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4585
Practice Address - Country:US
Practice Address - Phone:480-451-8454
Practice Address - Fax:480-451-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty