Susan S Park is a Pediatrics in Phoenix, Arizona. Susan S Park practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan S Park is 1548461221. The last update date is 2018-01-24.
Susan S Park's current location address is 1919 E Thomas Rd, Phoenix, Arizona. You can contact this provider via phone number 6029333366 and fax number 6029334166. The mailing address for Susan S Park is 1919 E Thomas Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan S Park |
|---|---|
| Address | 1919 E Thomas Rd, Phoenix, Arizona |
| Phone Number | 6029333366 |
| Fax Number | 6029334166 |
| Sole Proprietor | N |
| Credentials | P.N.P. |
NPI Number Detail
| NPI Number | 1548461221 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2018-01-24 |
Provider Mailing Address Detail
| Address | 1919 E Thomas Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850167710 |
| Phone Number | 6029333366 |
| Fax Number | 6029334166 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 583996 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 471651 | AZ | -- |
Post Comment/ Review Below
What is the Susan S Park's 1548461221?
The Susan S Park's NPI (National Provider Identifier) Number is 1548461221. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan S Park?
The Susan S Park is physically situated at 1919 E Thomas Rd, in the city of Phoenix, state of AZ, with the postal code 850167710.
What is Susan S Park's area of expertise and its corresponding taxonomy classification?
The Susan S Park's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1548461221 to Susan S Park?
The Susan S Park received its 1548461221 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
As of what date was the information pertaining to Susan S Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan S Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-01-24.
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