Organization · NPI-2

Arizona Pediatric Clinics PLLC

Pediatrics, Adolescent Medicine · Phoenix, AZ

NPI number1497964449
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497964449
Entity type
Organization (NPI-2)
Legal business name
Arizona Pediatric Clinics PLLC
Organization subpart
No
Enumeration date
May 22, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine16323AZYes

Practice location

809 E Washington St
Suite 106
Phoenix, AZ 85034-1052

Phone 602-340-1429

Mailing address

809 E Washington St
Suite 106
Phoenix, AZ 85034-1052

Phone 602-340-1429

Authorized official

Edward Enrique Quiroz
President And Owner
6023401429

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