Organization
ST. LUKE'S PEDIATRICS
Active
Parent organization
ARIZONA FAMILY CLINICS CORP
Other names
Arizona Family Clinics Corp
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA FAMILY CLINICS CORP
Authorized official
DR. GUSTAVO EMILIO DALOTTO (OWNER/CEO)
(602) 254-0200
Entity
Organization
Contact information
Practice address
1310 N 24TH ST STE 150, PHOENIX, AZ 85008-4617
(602) 254-0200
(602) 254-0237
Mailing address
1310 N 24TH ST STE 150, PHOENIX, AZ 85008-4617
(602) 254-0200
(602) 254-0237
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526031
—
AZ
Enumeration date
08/20/2009
Last updated
01/31/2023
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