# DESERT NEONATOLOGY ASSOCIATES

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

## Provider details

- **NPI number:** 1841695269
- **Authorized official:** KIM RUNGE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (602) 476-8962

## Contact information

- **Practice address:** 7720 N 16TH ST STE 425, PHOENIX, AZ 85020-4401
- **Practice address phone:** (602) 476-8962
- **Practice address fax:** (623) 643-9236
- **Mailing address:** 7720 N 16TH ST STE 425, PHOENIX, AZ 85020-4401
- **Mailing address phone:** (602) 476-8962
- **Mailing address fax:** (623) 643-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN0000174177 | TN | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 10/28/2014
