Bethesda Pediatrics Of Queen Creek

NPI 1063727766 - Pediatrics - 208000000X

NPI Details
NPI 1063727766
Enumeration Date 08/18/2010
Last Updated 01/08/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EMILIA ELIZABETH EMILIA
Position OWNER
Phone (480) 792-9200
Fax (480) 792-9206
Practice Location
22709 S ELLSWORTH RD
H101
QUEEN CREEK AZ, 85142-4943, US
Phone (480) 792-9200
Fax (480) 792-9206
Business Location
22709 S ELLSWORTH RD
H101
QUEEN CREEK AZ, 85142-4943, US
Phone (480) 792-9200
Fax (480) 792-9206
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 43623
Remove 1063727766 NPI Number
 

According to our database, Bethesda Pediatrics Of Queen Creek NPI is 1063727766, taxonomy code is 208000000X and license number is 43623, license state is located at Arizona. Bethesda Pediatrics Of Queen Creek physically located at 22709 S Ellsworth Rd, Queen Creek AZ, 85142-4943. NPI Number 1033115704 has the healthcare provider type.

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1063727766 NPI number is provided on an as is basis without warranty of any kind. 1063727766 is maintained by the National Plan & Provider Enumeration System. The contents of Bethesda Pediatrics Of Queen Creek are for informational purposes only.