Organization
PHOENIX CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BARKER (RESIDENCY ADMINISTRATOR)
(602) 933-2923
Entity
Organization
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(510) 407-7642
Mailing address
1597 ROSEMERE CT, FREMONT, CA 94539-5968
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
AZ
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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