| NPI | 1083606529 |
|---|---|
| Former Legal Business Name | PAX LUMENA PEDIATRICS PLLC |
| Entity Type | Organization |
| Authorized Contact | EDWARD J. MADRID Member Owner/Physician 480-722-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 16602) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2014-10-22 |