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Organization

PEGGY J BAIR, RNFA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY JO BAIR (RNFA)
(480) 390-2436
Entity
Organization

Contact information

Practice address
2304 N KACHINA CT, CHANDLER, AZ 85224-2284
(480) 390-2436
Mailing address
2304 N KACHINA CT, CHANDLER, AZ 85224-2284

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN107405
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2795
AZ

Other

Enumeration date
03/29/2007
Last updated
03/16/2016
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