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Organization
SOUTHWESTERN PEDIATRICS LLC
Active
Organization
SOUTHWESTERN PEDIATRICS LLC
Active
Parent organization
SOUTHWESTERN PEDIATRICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWESTERN PEDIATRICS LLC
Authorized official
SULTAN AYOUB FNP (FAMILY NURSE PRACTIONER)
(520) 568-9500
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY, STE 109, MARICOPA, AZ 85139-8979
(520) 568-9500
(520) 568-9533
Mailing address
2730 S VAL VISTA DR, STE 161, GILBERT, AZ 85295-1675
(480) 857-6316
(480) 857-6638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP3529
AZ
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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