NPI | 1184948416 |
---|---|
Doing Business As | SKYLINE PEDIATRICS PC |
Entity Type | Organization |
Authorized Contact | BRICE KOPAS President 520-834-5020 |
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 | 2024-11-12 |