Organization
CROSSROADS PEDIATRICS PLLC
Active
Other names
Pax Lumena Pediatrics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J. MADRID M.D. (MEMBER OWNER/PHYSICIAN)
(480) 722-1180
Entity
Organization
Contact information
Practice address
655 S. DOBSON RD., SUITE B-218, CHANDLER, AZ 85224-5671
(480) 722-1180
(480) 722-1187
Mailing address
655 S. DOBSON RD, SUITE B-218, CHANDLER, AZ 85224-5671
(480) 722-1180
(480) 722-1187
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247454001
—
AZ
Enumeration date
08/19/2005
Last updated
10/22/2014
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