Organization
COUNTY OF MARICOPA CO MARICOPA COUNTY TREAS PENDERGAST SCHOOL DIST 92
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DETHLOFF (ADMINISTRATOR OF PUPIL SERVICES)
(623) 772-2340
Entity
Organization
Contact information
Practice address
3841 N 91ST AVE, PHOENIX, AZ 85037-2369
(623) 772-2340
(623) 877-1028
Mailing address
3841 N 91ST AVE, PHOENIX, AZ 85037-2369
(623) 772-2340
(623) 877-1028
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/25/2008
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