NPI | 1134473515 |
---|---|
Other Name | MY PEDIATRIC PLACE |
Entity Type | Organization |
Authorized Contact | LIZ SOTO Practice Manager 602-716-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 27253) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2012-11-06 |