Phoenix Obstetrics and Gynecology LLC
NPI #1902944382 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1902944382
- Entity Type
- Organization
- Organization Name
- Phoenix Obstetrics and Gynecology LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 1, 2007
- Last Updated
- May 22, 2009
Practice Location
- Address
- 1600 S ANDREWS AVE
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33316-2510
- Phone
- (954) 355-5017
Authorized Official
- Name
- DR. BERTRUM WALLS, M.D.
- Title
- PRESIDENT
- Phone
- (954) 355-5017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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