| NPI | 1154660959 |
|---|---|
| Other Name | PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - AVONDALE |
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH SVP, Managed Care & Payer Strategy 602-933-3548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ SH3107) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2023-05-22 |