Gwendolyn Lee Hall, Cnm

NPI 1063681161 - Midwife - 176B00000X

NPI Details
NPI 1063681161
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GWENDOLYN LEE GWENDOLYN
Position PRESIDENT
Phone (928) 536-5377
Fax (928) 536-7656
Practice Location
261 S MAIN ST
SNOWFLAKE AZ, 85937-5316, US
Phone (928) 536-5377
Fax (928) 536-7656
Business Location
PO BOX 617
OVERGAARD AZ, 85933-0617, US
Phone (928) 535-4539
Fax (928) 535-4895
Toxanomy
Taxonomy Code 176B00000X
License State Arizona
License Number APO244
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According to our database, Gwendolyn Lee Hall, Cnm NPI is 1063681161, taxonomy code is 176B00000X and license number is APO244, license state is located at Arizona. Gwendolyn Lee Hall, Cnm physically located at 261 S Main St, Snowflake AZ, 85937-5316. NPI Number 1033115704 has the healthcare provider type.

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1063681161 NPI number is provided on an as is basis without warranty of any kind. 1063681161 is maintained by the National Plan & Provider Enumeration System. The contents of Gwendolyn Lee Hall, Cnm are for informational purposes only.