Healthcare Provider Details

I. General information

NPI: 1689712390
Provider Name (Legal Business Name): NORTH VALLEY OBSTETRICS AND GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19841 N 27TH AVE 204
PHOENIX AZ
85027-4003
US

IV. Provider business mailing address

19841 N 27TH AVE 204
PHOENIX AZ
85027-4003
US

V. Phone/Fax

Practice location:
  • Phone: 623-780-0100
  • Fax: 623-492-9160
Mailing address:
  • Phone: 623-780-0100
  • Fax: 623-492-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2283
License Number StateAZ

VIII. Authorized Official

Name: DR. ARLENE ENGLAND
Title or Position: OWNER
Credential: D.O.
Phone: 623-780-0100