Young Arizona Pediatrics Llc

NPI 1396024576 - Pediatrics - 208000000X

NPI Details
NPI 1396024576
Enumeration Date 08/05/2011
Last Updated 08/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DENICE M DENICE
Position ADMINISTRATOR
Phone (623) 214-3454
Fax (623) 214-3455
Practice Location
15653 N REEMS RD STE 110
SURPRISE AZ, 85374-9541, US
Phone (623) 214-3454
Fax (623) 214-3455
Business Location
15653 N REEMS RD STE 110
SURPRISE AZ, 85374-9541, US
Phone (623) 214-3454
Fax (623) 214-3455
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 33964
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According to our database, Young Arizona Pediatrics Llc NPI is 1396024576, taxonomy code is 208000000X and license number is 33964, license state is located at Arizona. Young Arizona Pediatrics Llc physically located at 15653 N Reems Rd Ste 110, Surprise AZ, 85374-9541. NPI Number 1033115704 has the healthcare provider type.

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1396024576 NPI number is provided on an as is basis without warranty of any kind. 1396024576 is maintained by the National Plan & Provider Enumeration System. The contents of Young Arizona Pediatrics Llc are for informational purposes only.