Organization
TEDDY BEAR PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENEY GARCIA (PRACTICE CONSULTANT)
(480) 699-5826
Entity
Organization
Contact information
Practice address
15415 W MAUNA LOA LN, SURPRISE, AZ 85379-6081
(480) 699-5826
Mailing address
15415 W MAUNA LOA LN, SURPRISE, AZ 85379-6081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5015
AZ
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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