MEDICARE: ARIZONA PERINATAL CARE CENTERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician

General Provider Information

NPI Number	:	1144299025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA PERINATAL CARE CENTERS, LLC

Provider Business Mailing Address
First Line	:	18699 N 67TH AVE
Second Line	:	SUITE 310
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7140
Country	:	US
Telephone Number	:	623-362-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	18699 N 67TH AVE
Second Line	:	SUITE 310
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7140
Country	:	US
Telephone Number	:	623-362-2266
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT J COWARD
Credential	:
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/10/2019

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