Organization · Type 2 NPI

Pediatria

Clinic/Center · Phoenix, AZ

NPI number 1801064753 Active

Practice location

4524 N Maryvale Pkwy, Suite 110
Phoenix, AZ 85031-1730

Call (623) 845-9009 Map

Fax (623) 845-6933

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X17010 (AZ)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1801064753

Pediatria's National Provider Identifier is 1801064753, issued on Feb 13, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 13, 2008.