Provider Demographics
NPI:1952414302
Name:RACONTI LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:RACONTI LIMITED PARTNERSHIP
Other - Org Name:FOOTHILLS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:GISELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-990-9919
Mailing Address - Street 1:6301 MOUNTAIN VISTA ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2366
Mailing Address - Country:US
Mailing Address - Phone:702-990-9919
Mailing Address - Fax:702-990-9922
Practice Address - Street 1:6301 MOUNTAIN VISTA ST STE 205
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2366
Practice Address - Country:US
Practice Address - Phone:702-990-9919
Practice Address - Fax:702-990-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty