Provider Demographics
NPI:1568675908
Name:TWIN PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:TWIN PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUDWIG
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUMAPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-395-1388
Mailing Address - Street 1:9100 N 2ND ST
Mailing Address - Street 2:STE 201
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2446
Mailing Address - Country:US
Mailing Address - Phone:602-395-1388
Mailing Address - Fax:602-395-1378
Practice Address - Street 1:9100 N 2ND ST
Practice Address - Street 2:STE 201
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2446
Practice Address - Country:US
Practice Address - Phone:602-395-1388
Practice Address - Fax:602-395-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21732208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========OtherEIN