Organization
FOUNDATIONS PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAILAH COOPER MD (MEMBER MANAGER)
(480) 847-0900
Entity
Organization
Contact information
Practice address
5400 W NORTHERN AVE STE 101, GLENDALE, AZ 85301-1590
(480) 847-0900
(480) 508-7815
Mailing address
1755 N PEBBLE CREEK PKWY, PMB1058, GOODYEAR, AZ 85395-2532
(480) 847-0900
(480) 508-7815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
11/07/2023
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