Canton Pediatrics P.C. in Phoenix - Pediatrics

Canton Pediatrics P.C. - NPI 1487758843

Canton Pediatrics P.C. is a Pediatrics in Phoenix, Arizona. Canton Pediatrics P.C. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Canton Pediatrics P.C. is 1487758843. The last update date is 2012-10-18.

Canton Pediatrics P.C.'s current location address is 4615 S Central Ave, Phoenix, Arizona. You can contact this provider via phone number 6022322737 and fax number 6022322736. The mailing address for Canton Pediatrics P.C. is 4615 S Central Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Canton Pediatrics P.C.
Address 4615 S Central Ave, Phoenix, Arizona
Phone Number 6022322737
Fax Number 6022322736
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Canton S Lucas
Credentials M.D.
Telephone Number 6022322737

NPI Number Detail

NPI Number 1487758843
Provider Enumeration Date 2006-09-07
Last Updated Date 2012-10-18

Provider Mailing Address Detail

Address 4615 S Central Ave
City Phoenix
State Arizona (AZ)
Post Code 850402148
Phone Number 6022322737
Fax Number 6022322736

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
826688 AZ AHCCCS

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FAQs about Canton Pediatrics P.C.

What is the unique 10-digit identifier code assigned to Canton Pediatrics P.C. by the Centers for Medicare & Medicaid Services?

The Canton Pediatrics P.C. has been issued the NPI (National Provider Identifier) 1487758843 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Canton Pediatrics P.C. is located?

The Canton Pediatrics P.C. is situated at the following address: 4615 S Central Ave, Phoenix, AZ, 850402148.

What is Canton Pediatrics P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Canton Pediatrics P.C. is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1487758843 to Canton Pediatrics P.C.?

The Canton Pediatrics P.C. received its 1487758843 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.

As of what date was the information regarding Canton Pediatrics P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Canton Pediatrics P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-18.

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