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Organization

MAIAN PEDIATRICS,PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS DONALD ERSKINE M.D. (MEMBER/MANAGER)
(305) 804-0320
Entity
Organization

Contact information

Practice address
30012 N CAVE CREEK RD, SUITE #101, CAVE CREEK, AZ 85331-5833
(480) 528-6502
Mailing address
30012 N CAVE CREEK RD, SUITE #101, CAVE CREEK, AZ 85331-5833
(480) 912-6214

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35463
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126923
AZ
Enumeration date
03/31/2017
Last updated
11/27/2017
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