Organization · Type 2 NPI

Planned Parenthood Arizona

Obstetrics & Gynecology Physician · Glendale, AZ

NPI number 1104071968 Active

Practice location

5771 W Eugie Ave
Glendale, AZ 85304-1241

Fax (602) 604-6582

Mailing address

4751 N 15th St
Phoenix, AZ 85014-3707

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed
Ambulatory Family Planning Facility 261QA0005XOTC 0118 (AZ)
Ambulatory Surgical Clinic/Center 261QA1903XNone listed

Obstetrics & Gynecology Physician: 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.

2 other providers at this address

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About NPI 1104071968

Planned Parenthood Arizona's National Provider Identifier is 1104071968, issued on Nov 20, 2008. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Glendale, AZ. The record was last updated on Nov 25, 2025.