Organization
ESTRELLA INTERNAL MEDICINE AND PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT M JOHNSON M.D. (PRESIDENT)
(623) 535-5599
Entity
Organization
Contact information
Practice address
14541 W INDIAN SCHOOL ROAD, STE 600, GOODYEAR, AZ 85338-9243
(623) 535-5599
(623) 535-4696
Mailing address
14541 W INDIAN SCHOOL ROAD, STE 600, GOODYEAR, AZ 85338-9243
(623) 535-5599
(623) 535-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332481
—
AZ
Enumeration date
05/22/2006
Last updated
11/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us