Organization
PARADIGM HOSPITAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L PETTIT D.O (OWNER)
(520) 381-3811
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY, SUITE 112, MARICOPA, AZ 85239-8979
(520) 381-3811
Mailing address
21300 N JOHN WAYNE PKWY, SUITE 112, MARICOPA, AZ 85239-8979
(520) 381-3811
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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