Advance Pediatrics

NPI 1174877708 - Clinic/Center - 261QP2300X

NPI Details
NPI 1174877708
Enumeration Date 11/05/2012
Last Updated 11/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RAKESH KUMAR RAKESH
Position DIRECTOR
Phone (928) 344-3411
Fax
Practice Location
1025 W 24TH STREET , SUITE 25
YUMA AZ, 85364, US
Phone (928) 344-3411
Fax
Business Location
1025 W 24TH STREET , SUITE 25
YUMA AZ, 85364, US
Phone (928) 344-3411
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Arizona
License Number 40131
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According to our database, Advance Pediatrics NPI is 1174877708, taxonomy code is 261QP2300X and license number is 40131, license state is located at Arizona. Advance Pediatrics physically located at 1025 W 24th Street , Suite 25, Yuma AZ, 85364. NPI Number 1033115704 has the healthcare provider type.

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1174877708 NPI number is provided on an as is basis without warranty of any kind. 1174877708 is maintained by the National Plan & Provider Enumeration System. The contents of Advance Pediatrics are for informational purposes only.