Kidshealth Pediatrics PLLC(Glendale)
Pediatrics in Glendale, AZ. Organization (NPI-2).
NPI number1336767342
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1336767342
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidshealth Pediatrics PLLC(Glendale)
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Kidshealth Pediatrics, PLLC(Glendale) (Other Name)
Practice location
5750 W Thunderbird Rd Ste F620Glendale, AZ 85306-4690
Phone 602-374-3396
Mailing address
5425 E Bell Rd Ste 131Scottsdale, AZ 85254-6010
Phone 602-374-3396
Authorized official
Maria Louella Nabong
Physician/Owner
6023743396
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