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Organization
GOOD NIGHT PEDIATRICS EAST VALLEY PC
Active
Organization
GOOD NIGHT PEDIATRICS EAST VALLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SHICK (DIRECTOR OF BUSINESS OPERATIONS)
(602) 476-0800
Entity
Organization
Contact information
Practice address
1452 N HIGLEY RD, GILBERT, AZ 85234-1600
(480) 813-9600
(480) 813-9601
Mailing address
1440 E MISSOURI AVE, SUITE 200, PHOENIX, AZ 85014-2458
(602) 476-0800
(602) 476-0801
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
OTC4085
AZ
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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