Organization
PEDIATRIA
Active
Organization
PEDIATRIA
Active
Other names
Dr B's Childrens Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME BALDERRAMA M.D. (CEO)
(623) 845-9009
Entity
Organization
Contact information
Practice address
4524 N MARYVALE PKWY, SUITE 110, PHOENIX, AZ 85031-1730
(623) 845-9009
(623) 845-6933
Mailing address
4524 N MARYVALE PKWY, SUITE 110, PHOENIX, AZ 85031-1730
(623) 845-9009
(623) 845-6933
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
17010
AZ
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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