Organization
SONORAN SKY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH E LETIZIA M.D. (OWNER)
(480) 365-0050
Entity
Organization
Contact information
Practice address
10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 85209-3810
(480) 365-0050
(480) 365-0049
Mailing address
10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 85209-3810
(480) 365-0050
(480) 365-0049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088674
—
AZ
05
—
250599
—
AZ
05
—
383934
—
AZ
05
—
527283
—
AZ
Enumeration date
10/21/2008
Last updated
07/28/2011
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