Provider Demographics
NPI:1770914673
Name:ARIZONS OBSTETRICS AND GYNECOLOGY, PLLC
Entity type:Organization
Organization Name:ARIZONS OBSTETRICS AND GYNECOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-494-4800
Mailing Address - Street 1:820 N THOMPSON LN
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4339
Mailing Address - Country:US
Mailing Address - Phone:615-494-4800
Mailing Address - Fax:615-494-4801
Practice Address - Street 1:820 N THOMPSON LN
Practice Address - Street 2:SUITE 1A
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4339
Practice Address - Country:US
Practice Address - Phone:615-494-4800
Practice Address - Fax:615-494-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000045425207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty