| NPI | 1023475506 |
|---|---|
| Doing Business As | PHOENIX CHILDREN'S CARDIOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | ETHEL HOFFMAN VP, Managed Care 602-933-1801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ SH3107) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |