Organization
WEST PHOENIX PEDIATRICS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIDA RANGEL MD (MEMBER)
(623) 889-6186
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD, SUITE 450, PHOENIX, AZ 85037
(623) 889-6186
(623) 889-6188
Mailing address
9305 W THOMAS RD, SUITE 450, PHOENIX, AZ 85037
(623) 889-6186
(623) 889-6188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145458
GALAXY HEALTH NTWK
—
01
—
2Z3015
HEALTHNET PPO
—
01
—
46677
BANNER CHOICE PLUS
AZ
01
—
5655373
MERCY CARE
AZ
01
—
5655373
CCN
—
01
—
7672735
AETNA HEALTHCARE
—
01
—
959223
AHCCCS
AZ
01
—
AZ078820
BCBS
AZ
01
—
AZ078820
TRICARE
—
01
—
AZ0788280
CIGNA HELATHCARE
—
Enumeration date
08/30/2006
Last updated
07/12/2011
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