is a Pediatrics in Phoenix, Arizona. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1083871073. The last update date is .
's current location address is 15715 S 46th St, Phoenix, Arizona. You can contact this provider via phone number 4804966444 and fax number 4804969688. The mailing address for is 15715 S 46th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 15715 S 46th St, Phoenix, Arizona |
| Phone Number | 4804966444 |
| Fax Number | 4804969688 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083871073 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 15715 S 46th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850480438 |
| Phone Number | 4804966444 |
| Fax Number | 4804969688 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 2633 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
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