Provider Demographics
NPI:1871910646
Name:ARIZONA OBGYN AFFILIATES - ACN PC
Entity type:Organization
Organization Name:ARIZONA OBGYN AFFILIATES - ACN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:PLATZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-343-6060
Mailing Address - Street 1:1661 E CAMELBACK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3913
Mailing Address - Country:US
Mailing Address - Phone:602-343-6043
Mailing Address - Fax:
Practice Address - Street 1:1661 E CAMELBACK RD STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-3913
Practice Address - Country:US
Practice Address - Phone:602-343-6043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA OBGYN AFFILIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty