Doctor Name: | DR. PHILIP BRUCE IVEY |
NPI Number: | 1902801160 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | AZ27066 |
Business Practice Address: | 1215 N Ivy Loop Casa Grande, AZ - 851225406 |
Business Phone Number: | 5208360933 |
Business Fax Number: | 5208366500 |
Mailing Address: | 1215 N Ivy Loop, CASA GRANDE |
State: | AZ |
Postal Code: | 851225406 |
Phone Number: | 5208360933 |
Fax Number: | 5208366500 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | AZ27066 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |