Organization · Type 2 NPI

Phoenix Children's Medical Group

Multi-Specialty Clinic/Center · Avondale, AZ

NPI number 1154660959 Active

Practice location

1665 N Avondale Blvd
Avondale, AZ 85392-5003

Call (602) 933-0005 Map

Fax (602) 933-2478

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	SH3107 (AZ)

Multi-Specialty Clinic/Center: Definition to come...

5 other providers at this address

Phoenix Children's Hospital, Inc.Urgent Care Clinic/Center Avondale, AZ NPI 1922347723
Brianne J. Butcher, PhDClinical Neuropsychologist Avondale, AZ NPI 1710262670
Jenna Mae Warner, MS CCC-SLPSpeech-Language Pathologist Avondale, AZ NPI 1306307889
Jennifer Nicole Martinez, DPTPhysical Therapist Avondale, AZ NPI 1073075552
Joel Phillip MedranoAdult Health Nurse Practitioner Avondale, AZ NPI 1942789367

Other multi-specialty clinic/center providers in Avondale

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NPI record

NPI: 1154660959
Entity type: Organization (Type 2)
Issued: Feb 14, 2013
Last updated: May 22, 2023
Status: Active
Subpart: Yes of Phoenix Children's Hospital, Inc.

Other names

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Phoenix Children's Ambulatory Specialty Center - Avondale · other name
Phoenix Children's Ambulatory Specialty Center - Avondale · other name

Authorized official

Raheel Farough
SVP, Managed Care & Payer Strategy
(602) 933-3548

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154660959

Phoenix Children's Medical Group's National Provider Identifier is 1154660959, issued on Feb 14, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Avondale, AZ. The record was last updated on May 22, 2023.