Organization
TINY TOTS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYLOU REYES M.D. (OWNER)
(928) 763-7020
Entity
Organization
Contact information
Practice address
2020 SILVERCREEK ROAD, SUITE 114 BULIDING A, BULLHEAD CITY, AZ 86442
(928) 763-7020
(928) 763-7050
Mailing address
PO BOX 23245, BULLHEAD CITY, AZ 86439-3245
(928) 763-7020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28997
AZ
Other
Enumeration date
01/28/2008
Last updated
02/08/2012
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