Womens Health Palace PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

33705 Issued in AZ

Legal business name

WOMENS HEALTH PALACE PLLC

Practice address

1491 N Arizona Blvd Ste 110
Coolidge, AZ 85128-3261

Phone

(480) 250-3694

NPI assigned

Apr 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vidalia M Butler-Poku, MDNPI 1285639286

Title

Member Owner

Phone

(480) 250-3694

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vidalia M Butler-Poku, MD

  • Obstetrics & Gynecology Physician
  • San Tan Valley, AZ
  • NPI 1285639286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1003313362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 E ANDRE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852989161",
            "telephone_number": "480-250-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 N ARIZONA BLVD STE 110",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283261",
            "telephone_number": "480-250-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH PALACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "BUTLER-POKU",
        "authorized_official_first_name": "VIDALIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "480-250-3694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "33705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence E Wells, LPC
• Angela White
• Christopher Jason White
• Michael Eugene Wilkinson, DDS
• Sharon Wineinger, RPH
• Your Next in Line Transportation Services, LLC

• Obstetrics & Gynecology Physician in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.