Organization
SPRINGFIELD MEDICAL LLC
Active
Other names
Springfield Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
OLADIJI G VAUGHAN MD (OWNER)
(602) 734-5509
Entity
Organization
Contact information
Practice address
36351 N GANTZEL RD STE 127, SAN TAN VALLEY, AZ 85140-7329
(602) 734-5509
(877) 281-3385
Mailing address
36351 N GANTZEL RD STE 127, SAN TAN VALLEY, AZ 85140-7329
(602) 734-5509
(877) 281-3385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40162
AZ
208M00000X
Hospitalist Physician
40162
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358032
—
AZ
05
—
584197
—
AZ
Enumeration date
01/04/2011
Last updated
07/25/2023
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