Healthcare Provider Details

I. General information

NPI: 1215265004
Provider Name (Legal Business Name): FERTILITY CENTERS OF ARIZONA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 E MOUNTAIN VIEW RD STE 201
SCOTTSDALE AZ
85258-4424
US

IV. Provider business mailing address

8901 E MOUNTAIN VIEW RD STE 201
SCOTTSDALE AZ
85258-4424
US

V. Phone/Fax

Practice location:
  • Phone: 480-559-0252
  • Fax: 480-661-4141
Mailing address:
  • Phone: 480-559-0252
  • Fax: 480-661-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number StateAZ

VIII. Authorized Official

Name: MR. HANK HOFF JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 480-559-0252