Healthcare Provider Details
I. General information
NPI: 1174965875
Provider Name (Legal Business Name): WOMBKEEPERS OBSTETRICS AND GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2013
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16700 N THOMPSON PEAK PKWY STE 130
SCOTTSDALE AZ
85260-2384
US
IV. Provider business mailing address
16700 N THOMPSON PEAK PKWY STE 130
SCOTTSDALE AZ
85260-2384
US
V. Phone/Fax
- Phone: 480-454-4490
- Fax: 480-546-5433
- Phone: 480-454-4490
- Fax: 480-546-5433
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
ANNE
ARISTIZABAL
Title or Position: PRESIDENT AND PHYSICIAN
Credential: MD
Phone: 602-330-9843