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NPI Code Detail

MEDICARE: SOUTHWEST WOMEN'S HEALTH, LLC

MEDICARE: SOUTHWEST WOMEN'S HEALTH, 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
1207V00000XObstetrics & Gynecology Physician27066AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881641751
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST WOMEN'S HEALTH, LLC
Provider Business Mailing Address
First Line : 1829 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-836-0933
Fax Number : 520-836-6500
Provider Business Practice Location Address
First Line : 1829 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-836-0933
Fax Number : 520-836-6500
Authorized Official
Title or Position : OWNER
Name : DR. PHILIP BRUCE IVEY
Credential : M. D.
Telephone Number : 520-836-0933
Provider Enumeration Date : 05/27/2006
Last Update Date : 03/22/2013

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Directions to “SOUTHWEST WOMEN'S HEALTH, LLC ” Practice Location

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