Emily Caroline Fanning, MD | |
6678 W Thunderbird Rd, Glendale, AZ 85306-3721 | |
(026) 978-1500 | |
(602) 978-0409 |
Full Name | Emily Caroline Fanning |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 6678 W Thunderbird Rd, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063902377 | NPI | - | NPPES |
164270 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 65939 (Arizona) | Primary |
Entity Name | Obstetrix Medical Group Of Phoenix Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407957152 PECOS PAC ID: 8628961430 Enrollment ID: O20040206000419 |
Entity Name | Desert West Obstetrics & Gynecology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588654560 PECOS PAC ID: 3375529100 Enrollment ID: O20040624000730 |
Mailing Address | Practice Location Address |
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Emily Caroline Fanning, MD 6678 W Thunderbird Rd, Glendale, AZ 85306-3721 Ph: (026) 978-1500 | Emily Caroline Fanning, MD 6678 W Thunderbird Rd, Glendale, AZ 85306-3721 Ph: (026) 978-1500 |
Dr. Elizabeth V Mahour-moyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Mrs. Amy Blanshard Boots, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-678-1500 Fax: 602-978-0409 | |
Bradley John Folkestad, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18699 N 67th Ave, Ste 320, Glendale, AZ 85308 Phone: 623-561-7250 Fax: 623-561-0098 | |
Dr. Kelly Ann Goad, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Ole Borch-christensen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5601 W Eugie Ave, Ste 100, Glendale, AZ 85304 Phone: 602-978-1500 Fax: 602-978-0409 | |
Hillary H. Charles, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5757 W. Thunderbird Road, Suite W-202, Glendale, AZ 85306 Phone: 602-678-1111 Fax: 602-678-7090 |