| NPI | 1861584583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDI STONECIPHER Office Coordinator 623-537-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 2440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 33404) |
| 208000000X Pediatrics (Licence: AZ 30213) | |
| 363A00000X Physician Assistant (Licence: AZ 2208) | |
| 363A00000X Physician Assistant (Licence: AZ 3229) | |
| 208000000X Pediatrics (Licence: AZ 4394) | |
| 363A00000X Physician Assistant (Licence: AZ 3489) | |
| 208000000X Pediatrics (Licence: AZ 36022) | |
| 363A00000X Physician Assistant (Licence: AZ 3326) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |