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Organization
DESERT NEONATOLOGY ASSOCIATES
Active
Organization
DESERT NEONATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RUNGE (CREDENTIALING SPECIALIST)
(602) 476-8962
Entity
Organization
Contact information
Practice address
7720 N 16TH ST STE 425, PHOENIX, AZ 85020-4401
(602) 476-8962
(623) 643-9236
Mailing address
7720 N 16TH ST STE 425, PHOENIX, AZ 85020-4401
(602) 476-8962
(623) 643-9236
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN0000174177
TN
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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