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Organization

CHILDREN'S DOCTOR, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERAMAT BEHSHAD 20101 (PRESIDENT)
(602) 864-0211
Entity
Organization

Contact information

Practice address
1728 W GLENDALE AVE, SUITE #102, PHOENIX, AZ 85021-8860
(602) 864-0211
(602) 864-9392
Mailing address
1728 W GLENDALE AVE, SUITE #102, PHOENIX, AZ 85021-8860
(602) 864-0211
(602) 864-9392

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary

Other

Enumeration date
07/11/2007
Last updated
08/22/2020
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