DR. MD Felipe L.g. Videla, NPI 1194717991
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Phoenix, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1194717991
NPI Entity Type Individual
Provider Name DR. MD Felipe L.g. Videla
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1616 E Maryland Ave, Phoenix, AZ, US
Provider Mailing Address 1616 E Maryland Ave, Phoenix, AZ, US, 850161302
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207VF0040X

Taxonomy Name Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. 30207
License State AZ
Description A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Business Address

DR. MD Felipe L.g. Videla
1616 E Maryland Ave

Phoenix, AZ, US

Phone: 602-788-1521
Fax: 602-688-5420

Mailing Address

DR. MD Felipe L.g. Videla
1616 E Maryland Ave
Phoenix, AZ, US
ZIP 850161302
Phone: 602-788-1521
Fax: 602-688-5420

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207VG0400X

Allopathic & Osteopathic Physicians

Obstetrics & Gynecology

30207 AZ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
709438 AZ MEDICAID 05
7802344 AZ AETNA 01
AZ0718260 AZ BLUE CROSS BLUE SHIELD 01

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NPI Name Taxonomy Address

1659836476

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Organization

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Organization

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MRS. LCSW Colette Reon Hardesty-tesar X

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MD Nicole Marie Casey

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Sierra Vista Regional Health Center Medical Group Llc

Organization

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Suite 200

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PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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