Organization
SOUTHEAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID HASAN M.D. (OWNER)
(480) 857-6316
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR STE 161, GILBERT, AZ 85295-1680
(480) 857-6316
(480) 857-6638
Mailing address
2730 S VAL VISTA DR STE 161, GILBERT, AZ 85295-1680
(480) 857-6316
(480) 857-6638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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