Organization
BOYS AND GIRLS PEDIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE M CIFUENTES (MEDICAL DIRECTOR)
(602) 714-5064
Entity
Organization
Contact information
Practice address
2727 W BASELINE RD, SUITE 11, TEMPE, AZ 85283-1067
(602) 714-5064
(602) 714-5314
Mailing address
2727 W BASELINE RD, SUITE 11, TEMPE, AZ 85283-1067
(602) 714-5064
(602) 714-5314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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