Provider Demographics
NPI:1750094983
Name:REPRODUCTIVE CHOICE AZ
Entity type:Organization
Organization Name:REPRODUCTIVE CHOICE AZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-553-0440
Mailing Address - Street 1:1331 N 7TH ST STE 225
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2768
Mailing Address - Country:US
Mailing Address - Phone:602-553-0440
Mailing Address - Fax:602-462-5588
Practice Address - Street 1:1331 N 7TH ST STE 225
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2768
Practice Address - Country:US
Practice Address - Phone:602-553-0440
Practice Address - Fax:602-462-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty