| NPI | 1417121393 |
|---|---|
| Doing Business As | PHOENIX CHILDREN'S MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH SVP, Managed Care & Payor Strategy 602-933-3548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ OTC7349) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-05-22 |