| NPI | 1427388297 |
|---|---|
| Other Name | JUDITH BARNES-CLARK, LLC DBA BUILDING BLOCKS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DWAYNE MICHAEL ST. JACQUES Owner 480-783-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 24143) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 32674) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |