Abundant Life Enterprises, LLC
Obstetrics & Gynecology in Tucson, AZ. Organization (NPI-2).
NPI number1104153097
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1104153097
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Life Enterprises, LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2009
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- A New Creation Women'S Clinic (Doing Business As)
Practice location
3055 W Ina RdSuite 195
Tucson, AZ 85741-2107
Phone 520-293-1117 · Fax 520-293-7701
Mailing address
3055 W. Ina Rd.#195
Tucson, AZ 85741-2136
Phone 520-293-1117 · Fax 520-293-7701
Authorized official
Sharon R. Campbell
Owner
5202931117
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