Organization
CHILDRENS CRITICAL CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H GRAHAM M.D. (PRESIDENT)
(602) 546-1784
Entity
Organization
Contact information
Practice address
1919 E THOMAS RD, SUITE 1891, PHOENIX, AZ 85016-7710
(605) 546-1784
(602) 546-1785
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841082
—
AZ
Enumeration date
02/06/2006
Last updated
06/12/2008
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