OrganizationActive
Maternal Fetal Medicine of Arizona LLC
NPI 1093050601 · Maternal & Fetal Medicine Physician · Mesa, AZ
Provider details
- NPI number
- 1093050601
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronald Russell, Chief Executive Officer(480) 399-3880
- License
- 40444 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4852 E Baseline Rd
Ste 104
Mesa, AZ 85206-4627
Phone: (480) 467-3545
Fax: (480) 467-3565
Approximate (ZIP-level) locationGet directions
Mailing address
8912 E Pinnacle Peak Rd
Scottsdale, AZ 85255-3659
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2013-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.