| NPI | 1073102976 |
|---|---|
| Doing Business As | MAIN STREET PEDIATRICS |
| Doing Business As | PEDIATRICS OF QUEEN CREEK |
| Entity Type | Organization |
| Authorized Contact | STACIE SELF Billing 480-792-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-20 |