Organization
SOUTHWESTERN PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RICHARDSON MARTIN JR. MD (MD)
(480) 857-6316
Entity
Organization
Contact information
Practice address
1343 N ALMA SCHOOL RD, #275, CHANDLER, AZ 85224
(480) 857-6316
(480) 857-6638
Mailing address
1343 N ALMA SCHOOL RD, #275, CHANDLER, AZ 85224
(480) 857-6316
(480) 857-6638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23086
AZ
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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