Organization
PENDLETON PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI A MALDONADO (BILLING ADMINISTRATOR)
(480) 385-5055
Entity
Organization
Contact information
Practice address
1445 W CHANDER BLVD, BLDG B, CHANDLER, AZ 85248
(480) 338-5505
(480) 385-5054
Mailing address
1445 W CHANDER BLVD, BLDG B, CHANDLER, AZ 85248
(480) 338-5505
(480) 385-5054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389777
—
AZ
Enumeration date
07/10/2007
Last updated
07/10/2007
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