NPI | 1588866453 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET GRADLE Certified Pediatric Nurse Practione 480-889-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ AP0241) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 34596) |
208000000X Pediatrics (Licence: AZ 27900) | |
208000000X Pediatrics (Licence: AZ 34587) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-08-22 |