Organization
PHOENIX PEDIATRICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCIE ODONNELL (BILLING AND CODING COORDIATOR)
(602) 242-5121
Entity
Organization
Contact information
Practice address
4434 N 12TH ST, PHOENIX, AZ 85014-4507
(602) 242-5121
Mailing address
4434 N 12TH ST, PHOENIX, AZ 85014-4507
(602) 242-5121
(602) 242-6945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AZ
Other
Enumeration date
09/06/2007
Last updated
07/21/2022
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