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Organization
SOUTHWESTERN PEDIATRICSPLLC
Active
Organization
SOUTHWESTERN PEDIATRICSPLLC
Active
Parent organization
SOUTHWESTERN PEDIATRICS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWESTERN PEDIATRICS PLLC
Authorized official
KELLIE ANN DENOS (FRONT OFFICE)
(480) 857-6316
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 109, MARICOPA, AZ 85139-8964
(520) 568-9500
(520) 568-9533
Mailing address
21300 N JOHN WAYNE PKWY STE 109, MARICOPA, AZ 85139-8964
(520) 568-9500
(520) 568-9533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3529
AZ
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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