Organization
GLENDALE PEDIATRICS LLC
Active
Other names
Glendale Pediatrics & Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE SION LOPEZ (PHYSICIAN)
(623) 847-5300
Entity
Organization
Contact information
Practice address
2929 N 75TH AVE STE 5&6, PHOENIX, AZ 85033-5400
(623) 873-1200
(623) 847-5304
Mailing address
6745 N 51ST DR, GLENDALE, AZ 85301-3425
(623) 847-5300
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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