| NPI | 1063727766 |
|---|---|
| Doing Business As | PEDIATRICS OF QUEEN CREEK |
| Entity Type | Organization |
| Authorized Contact | ELMER PORTILLO CFO 602-531-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43623) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2024-07-24 |