Organization
SPECIALTY PEDIATRICS LT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOINUDDIN H MOKHASHI M.D. (MEMBER)
(928) 726-3009
Entity
Organization
Contact information
Practice address
2851 S AVE B, STE B, YUMA, AZ 85364-7726
(928) 726-3009
(928) 726-3019
Mailing address
2851 S AVE B, STE B, YUMA, AZ 85364-7726
(928) 726-3009
(928) 726-3019
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
34699
AZ
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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