Gilbert Childrens Medical Group INC
Pediatrics in Mesa, AZ. Organization (NPI-2).
NPI number1427211804
StatusActive
Last updated in NPPESJul 7, 2008
Details
- NPI
- 1427211804
- Entity type
- Organization (NPI-2)
- Legal business name
- Gilbert Childrens Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2008
- Last updated
- Jul 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
4540 E Baseline RdSuite 108
Mesa, AZ 85206-4616
Phone 480-892-3880 · Fax 480-545-4551
Mailing address
4540 E Baseline RdSuite 108
Mesa, AZ 85206-4616
Phone 480-892-3880 · Fax 480-545-4551
Authorized official
Sherri Kerin
Billing Manager
4806333577
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