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Organization

PSF ARIZONA OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH FARACE (MANAGER)
(714) 516-4295
Entity
Organization

Contact information

Practice address
5020 E SHEA BLVD, STE 100, SCOTTSDALE, AZ 85254-4603
(714) 516-4295
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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