Ocotillo Pediatrics Pllc

NPI 1215115597 - Pediatrics - 208000000X

NPI Details
NPI 1215115597
Enumeration Date 02/08/2008
Last Updated 02/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHELLE K MICHELLE
Position PRESIDENT
Phone (520) 617-0971
Fax (520) 882-8973
Practice Location
1701 W SAINT MARYS RD
STE. 111
TUCSON AZ, 85745-2621, US
Phone (520) 617-0971
Fax (520) 882-8973
Business Location
PO BOX 43160
TUCSON AZ, 85733-3160, US
Phone (520) 722-3777
Fax (520) 296-6224
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 33568
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According to our database, Ocotillo Pediatrics Pllc NPI is 1215115597, taxonomy code is 208000000X and license number is 33568, license state is located at Arizona. Ocotillo Pediatrics Pllc physically located at 1701 W Saint Marys Rd, Tucson AZ, 85745-2621. NPI Number 1033115704 has the healthcare provider type.

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1215115597 NPI number is provided on an as is basis without warranty of any kind. 1215115597 is maintained by the National Plan & Provider Enumeration System. The contents of Ocotillo Pediatrics Pllc are for informational purposes only.