Sheridan Children'S Healthcare Services Of Arizona, INC.
Pediatrics, Neonatal-Perinatal Medicine in Flagstaff, AZ. Organization (NPI-2).
NPI number1326809484
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1326809484
- Entity type
- Organization (NPI-2)
- Legal business name
- Sheridan Children'S Healthcare Services Of Arizona, INC.
- Organization subpart
- No
- Enumeration date
- Jan 17, 2024
- Certification date
- Jan 17, 2024
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | – | – | Yes |
Practice location
1200 N Beaver StFlagstaff, AZ 86001-3118
Phone 866-773-1284
Mailing address
Po Box 3424Indianapolis, IN 46206-3424
Phone 866-773-1284
Authorized official
Karen Vaughn
Authorized Official
4044504684
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