Provider Demographics
NPI:1851367726
Name:DESERT PEDIATRIC HOSPITALISTS PLC
Entity Type:Organization
Organization Name:DESERT PEDIATRIC HOSPITALISTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-633-7070
Mailing Address - Street 1:4856 E BASELINE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4635
Mailing Address - Country:US
Mailing Address - Phone:480-633-7070
Mailing Address - Fax:480-775-4306
Practice Address - Street 1:4856 E BASELINE RD STE 104
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4635
Practice Address - Country:US
Practice Address - Phone:480-633-7070
Practice Address - Fax:480-775-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty