| NPI | 1376944298 |
|---|---|
| Other Name | PHOENIX CHILDREN'S HOSPITAL SPECIALTY CLINIC MERCY GILBERT |
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH VP, Managed Care 602-933-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ SH3107) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-04-21 |