Basic Information
| Provider Information | |||||||||
| NPI: | 1770914673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARIZONS OBSTETRICS AND GYNECOLOGY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 820 N THOMPSON LN | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371294339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154944800 | ||||||||
| FaxNumber: | 6154944801 | ||||||||
| Practice Location | |||||||||
| Address1: | 820 N THOMPSON LN | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371294339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154944800 | ||||||||
| FaxNumber: | 6154944801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2013 | ||||||||
| LastUpdateDate: | 12/03/2013 | ||||||||
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| AuthorizedOfficialLastName: | JARRETT | ||||||||
| AuthorizedOfficialFirstName: | MARCO | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6154944800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD0000045425 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.