NPI 1003313362
Womens Health Palace PLLC
Practice location
- Address
- 1491 N Arizona Blvd STE 110, Coolidge, AZ 85128-3261
- Phone
- (480) 250-3694
- Mailing address
- 3924 E Andre Ave, Gilbert, AZ 85298-9161
Authorised official
- Name
- Vidalia M Butler-Poku
- Title
- Member Owner
- Phone
- (480) 250-3694
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1003313362
- Entity type
- Organization
- NPI issued
- 12 Apr 2018
- Record last updated
- 23 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.