Organization
CHILDREN'S LUNG AND SLEEP SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINYEMI O AJAYI M.D. (PRESIDENT)
(866) 383-0556
Entity
Organization
Contact information
Practice address
5251 W CAMPBELL AVE, SUITE 110, PHOENIX, AZ 85031-1715
(866) 383-0556
(877) 898-9443
Mailing address
PO BOX 540326, ORLANDO, FL 32854-0326
(866) 383-0556
(877) 898-9443
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
43211
AZ
2080S0012X
Pediatric Sleep Medicine Physician
43211
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617458-7
CORPORATION REGISTRATION
AZ
Enumeration date
11/12/2010
Last updated
11/12/2010
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