Organization
AZ PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDO O TAN JR. MD (PHYSICIAN)
(602) 471-6521
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD STE 410, PHOENIX, AZ 85037-3369
(602) 471-6521
Mailing address
5247 E WAGONER RD, SCOTTSDALE, SCOTTSDALE, AZ 85254-7635
(602) 471-6521
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
32141
AZ
Other
Enumeration date
11/07/2006
Last updated
01/11/2011
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