Organization
PEDIATRICS IN THE PINES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D BARELA MD (EMPLOYEE)
(928) 537-6567
Entity
Organization
Contact information
Practice address
3401 S WHITE MOUNTAIN ROAD, SHOW LOW, AZ 85901
(928) 537-5437
(928) 537-5857
Mailing address
3401 S WHITE MOUNTAIN ROAD, SHOW LOW, AZ 85901
(928) 537-5437
(928) 537-5857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
10/04/2011
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