Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 07340 | AZ |
N | 207V00000X | Obstetrician & Gynecologist | 7340 | AZ |
NPI | 1023012796 |
---|---|
Provider Name | Dr. Marilyn K. Laughead |
First Address | Scottsdale, AZ 85258 |
Second Address | Scottsdale, AZ 85258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 07/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
319930 | (05) | AZ |
C99845 | (02) | |
C99845 | (02) | AZ |