Provider Demographics
NPI:1063667095
Name:ARMADILLO PEDIATRICS PLC
Entity Type:Organization
Organization Name:ARMADILLO PEDIATRICS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLOTTERER-PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-257-9229
Mailing Address - Street 1:4530 E RAY RD
Mailing Address - Street 2:STE 178
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6094
Mailing Address - Country:US
Mailing Address - Phone:602-257-9229
Mailing Address - Fax:602-257-9368
Practice Address - Street 1:515 W BUCKEYE RD
Practice Address - Street 2:STE 402
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-2647
Practice Address - Country:US
Practice Address - Phone:602-257-9229
Practice Address - Fax:602-938-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty