Provider Demographics
NPI:1982874319
Name:ARIZONA PEDIATRICS,PLLC
Entity Type:Organization
Organization Name:ARIZONA PEDIATRICS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:602-277-5731
Mailing Address - Street 1:600 W THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4213
Mailing Address - Country:US
Mailing Address - Phone:602-277-5731
Mailing Address - Fax:602-277-5995
Practice Address - Street 1:600 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4213
Practice Address - Country:US
Practice Address - Phone:602-277-5731
Practice Address - Fax:602-277-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care