NPI | 1699973750 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI A MALDONADO Billing Administrator 480-385-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 25070) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-07-10 |