Organization
PHOENIX CHILDREN'S HOSPITAL
Active
Parent organization
PHOENIX CHILDREN'S HOSPITAL
Other names
Phoenix Children's Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CHILDREN'S HOSPITAL
Authorized official
RAHEEL FAROUGH (SVP, MANAGED CARE & PAYOR STRATEGY)
(602) 933-3548
Entity
Organization
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SH3107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876253
—
AZ
Enumeration date
08/18/2006
Last updated
02/10/2025
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