Bella Sierra Womens Center PLLC

Organization Active NPI Obstetrics & Gynecology Physician · Sierra Vista, AZ

NPI 1104184522 · NPPES record last updated Nov 13, 2012

Key facts

NPI
1104184522
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
36571 (AZ)
Legal business name
BELLA SIERRA WOMENS CENTER PLLC
Practice address
3410 Canyon de Flores Ste C
Sierra Vista, AZ 85650-5373
Phone
(520) 459-1914
Fax
(520) 459-7130
NPI assigned
Apr 24, 2012
Organization subpart
No

Authorized official

Name
Peter G Van Oosten, M.D.
Title
Owner
Phone
(520) 459-1914

National Provider Directory

Locations

3410 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-7330

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X 36571 AZ Yes

Addresses

Primary practice location

3410 Canyon de Flores Ste C
Sierra Vista, AZ 85650-5373

Mailing address

3410 Canyon de Flores
#C
Sierra Vista, AZ 85650-5372
Phone (520) 459-1914

Other providers in Sierra Vista, AZ

All providers in Sierra Vista, AZ · Obstetrics & Gynecology Physician in Arizona

Sources for this page

Verify at the official NPI Registry.