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Organization

NORTH VALLEY PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOANN KOLNICK M.D. (PRACTICE ADMINISTRATOR)
(602) 290-7190
Entity
Organization

Contact information

Practice address
14045 N 7TH ST STE 2, PHOENIX, AZ 85022-4387
(602) 482-7311
(602) 482-7314
Mailing address
14045 N 7TH ST STE 2, PHOENIX, AZ 85022-4387
(602) 482-7311
(602) 482-7314

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19585
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001529
AZ
01
AZ19585
STATE LICENSE
AZ
Enumeration date
01/08/2009
Last updated
01/24/2019
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