Organization
SOUTHWESTERN PEDIATRICS PLLC
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
2730 S VAL VISTA DR STE 161, GILBERT, AZ 85295-1680
(480) 857-6316
(480) 857-6638
Mailing address
2730 S VAL VISTA DR STE 161, GILBERT, AZ 85295-1680
(480) 857-6316
(480) 857-6638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23086
AZ
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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