Organization Name: | EAST VALLEY OB/GYN |
NPI Number: | 1528209889 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HOLLAR (OWNER) |
Mailing Address: | 1450 S Dobson Rd Ste. B221 Mesa |
State: | AZ US |
Postal Code: | 852024712 |
Phone Number: | 4804611161 |
Fax Number: | 4808351482 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 28517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |