Creekside Birth Cottage

NPI #1679350698 in Payson, Arizona

Provider Information

NPI Number: 1679350698
Entity Type: Organization
Organization Name: Creekside Birth Cottage
Subpart: Yes (part of a larger organization)
Parent Organization: CREEKSIDE MIDWIFERY LLC
Primary Specialty: Midwife
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 215 W FRONTIER ST
City: Payson
State: Arizona
ZIP Code: 85541-5318
Phone: (928) 951-6410

Authorized Official

Name: LACEY TACKETT
Title: MEMBER
Phone: (928) 951-6410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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