| 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 |