NPI | 1992060222 |
---|---|
Doing Business As | CACTUS KIDS PEDIATRICS |
Entity Type | Organization |
Authorized Contact | PATTI J. PERRY Owner 928-782-6830 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 19663) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2012-07-12 |