# GOOD NIGHT PEDIATRICS EAST VALLEY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629296249
- **Authorized official:** KATHERINE SHICK (DIRECTOR OF BUSINESS OPERATIONS)
- **Authorized official phone:** (602) 476-0800

## Contact information

- **Practice address:** 1452 N HIGLEY RD, GILBERT, AZ 85234-1600
- **Practice address phone:** (480) 813-9600
- **Practice address fax:** (480) 813-9601
- **Mailing address:** 1440 E MISSOURI AVE, SUITE 200, PHOENIX, AZ 85014-2458
- **Mailing address phone:** (602) 476-0800
- **Mailing address fax:** (602) 476-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | OTC4085 | AZ | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020