NPI | 1184948416 |
---|---|
Doing Business As | SKYLINE PEDIATRICS PC |
Entity Type | Organization |
Authorized Contact | BRICE DAVID KOPAS President 520-577-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 33544) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 40475) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2019-03-15 |