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Organization

ARIZONA CHILDRENS SURGERY PC

Active
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Organization

ARIZONA CHILDRENS SURGERY PC

Active
Other names
East Valley Pediatric Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE RICARDO GRISONI MD (DIRECTOR)
(480) 512-6514
Entity
Organization

Contact information

Practice address
1432 S DOBSON RD, STE 301, MESA, AZ 85202-4768
(480) 464-9400
(480) 464-9401
Mailing address
PO BOX 41090, MESA, AZ 85274-1090
(480) 464-9400
(480) 464-9401

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
28876
AZ

Other

Enumeration date
08/18/2005
Last updated
07/18/2007
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