Provider Demographics
NPI:1336563857
Name:ARIZONA OBGYNAFFILIATES SHP,PC
Entity Type:Organization
Organization Name:ARIZONA OBGYNAFFILIATES SHP,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-343-6166
Mailing Address - Street 1:1661 E CAMELBACK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3913
Mailing Address - Country:US
Mailing Address - Phone:602-343-6166
Mailing Address - Fax:480-443-4525
Practice Address - Street 1:10261 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4502
Practice Address - Country:US
Practice Address - Phone:480-443-4437
Practice Address - Fax:480-443-4525
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA OBGYN AFFILIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty