| NPI | 1679703441 |
|---|---|
| Other Name | PHOENIX CHILDREN'S AMBULATORY SPECIALTY CENTER - NORTHWEST VALLEY |
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH SVP, Managed Care & Payor Strategy 602-933-3548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ SH3107) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-05-22 |