Healthcare Provider Details

I. General information

NPI: 1750426169
Provider Name (Legal Business Name): GENERATIONS HEALTHCARE FOR WOMEN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2171 W ORANGE GROVE RD
TUCSON AZ
85741-3118
US

IV. Provider business mailing address

2171 W ORANGE GROVE RD
TUCSON AZ
85741-3118
US

V. Phone/Fax

Practice location:
  • Phone: 520-877-3800
  • Fax: 520-877-3801
Mailing address:
  • Phone: 520-877-3800
  • Fax: 520-877-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR CHEN
Title or Position: PRESIDENT- PHYSICIAN
Credential: MD
Phone: 520-877-3800