Basic Information
| Provider Information | |||||||||
| NPI: | 1104086032 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COLWELL | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1661 E CAMELBACK RD | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850163911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6024229012 | ||||||||
| FaxNumber: | 6238467041 | ||||||||
| Practice Location | |||||||||
| Address1: | 10240 W INDIAN SCHOOL RD | ||||||||
| Address2: | BLR 2 STE 140 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850375904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6238467558 | ||||||||
| FaxNumber: | 6238467041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2008 | ||||||||
| LastUpdateDate: | 11/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 005516 | AZ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 390200000X | 005516 | AZ | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.