Healthcare Provider Details

I. General information

NPI: 1144299025
Provider Name (Legal Business Name): ARIZONA PERINATAL CARE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18699 N 67TH AVE SUITE 310
GLENDALE AZ
85308-7140
US

IV. Provider business mailing address

18699 N 67TH AVE SUITE 310
GLENDALE AZ
85308-7140
US

V. Phone/Fax

Practice location:
  • Phone: 623-362-2266
  • Fax:
Mailing address:
  • Phone: 623-362-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT J COWARD
Title or Position: PRESIDENT
Credential:
Phone: 954-838-2371