Provider Demographics
NPI:1245562826
Name:CRAZY ABOUT KIDS PULMONARY SERVICES LLC
Entity Type:Organization
Organization Name:CRAZY ABOUT KIDS PULMONARY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-892-2260
Mailing Address - Street 1:PO BOX 9362
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9362
Mailing Address - Country:US
Mailing Address - Phone:480-892-2260
Mailing Address - Fax:480-892-2274
Practice Address - Street 1:4001 E BASELINE RD
Practice Address - Street 2:STE 205
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2726
Practice Address - Country:US
Practice Address - Phone:480-892-2260
Practice Address - Fax:480-892-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty