Organization
EAST VALLEY PEDIATRIC PULMONARY SPECIALISTS, PLLC
Active
Organization
EAST VALLEY PEDIATRIC PULMONARY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN S PANESAR MD (MANAGER)
(480) 614-6655
Entity
Organization
Contact information
Practice address
10250 N 92ND ST, 308, SCOTTSDALE, AZ 85258-4510
(480) 614-6655
Mailing address
10250 N 92ND ST, 308, SCOTTSDALE, AZ 85258-4510
(480) 614-6655
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
26415
AZ
Other
Enumeration date
04/14/2006
Last updated
08/22/2020
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