Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maternal Fetal Medicine of Arizona LLC

Organization Maternal & Fetal Medicine Physician · NPI 1093050601

Maternal Fetal Medicine of Arizona LLC is a Maternal & Fetal Medicine Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4852 E Baseline Rd Ste 104
Mesa, AZ 85206-4627
Phone: (480) 467-3545
Fax: (480) 467-3565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 40444 (AZ)

Record details

NPI number1093050601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Russell — Chief Executive Officer · (480) 399-3880
NPI enumeratedDecember 7, 2012
Last updated in NPPESJanuary 18, 2013
Mailing address8912 E Pinnacle Peak Rd, Ste F9-585, Scottsdale, AZ 85255-3659

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