Organization
CACTUS CHILDRENS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON D VARGAS MD (TREASURER/OWNER)
(602) 978-2500
Entity
Organization
Contact information
Practice address
5940 W UNION HILLS DR, SUITE D-100, GLENDALE, AZ 85308-1308
(602) 978-2500
(602) 938-2198
Mailing address
5940 W UNION HILLS DR, SUITE D-100, GLENDALE, AZ 85308-1308
(602) 978-2500
(602) 938-2198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215112001
—
AZ
Enumeration date
12/27/2006
Last updated
02/01/2011
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