DESERT PRAIRIE GYNECOLOGY AND OBSTETRICS PC
Ambulatory Health at Williamson Ave, Leupp Corner, AZ

License number
Arizona 13986
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MICHAEL W PEARSON MD
Title: PRESIDENT
Phone: (928) 289-3396
Address
Address
1500 N Williamson Ave, Leupp Corner, AZ 86047
National Provider ID: 1841330172
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT PRAIRIE GYNECOLOGY AND OBSTETRICS, PC

248 Papago Blvd, Winslow, AZ 86047

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Sep 21, 2006
Inactive since:
Mar 1, 2013
State ID:
-1313187-2
Expiration:
PERPETUAL
President:
Michael W Pearson (President), 248 Papago Blvd, Winslow, AZ 86047 (Physical)
Agent:
Michael Pearson,248 Papago Blvd, Winslow, AZ 86047 (Physical)
Business type:
HEALTH CARE

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