| 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 |