Organization
DESERT WILLOW PEDIATRICS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY B PESKIN MD (PRESIDENT)
(520) 751-4124
Entity
Organization
Contact information
Practice address
6369 E TANQUE VERDE RD, SUITE 190, TUCSON, AZ 85715-3850
(520) 751-4124
Mailing address
6369 E TANQUE VERDE RD, SUITE 190, TUCSON, AZ 85715-3850
(520) 751-4124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19520
LICENSE
AZ
Enumeration date
09/19/2016
Last updated
09/19/2016
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