Organization
BUCKEYE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAELA BECERRA POWELL D.O. (OWNER)
(623) 374-7833
Entity
Organization
Contact information
Practice address
23374 W. YUMA RD, SUITE 101, BUCKEYE, AZ 85326
(623) 374-7833
(623) 594-0114
Mailing address
23374 W. YUMA RD, SUITE 101, BUCKEYE, AZ 85326
(623) 374-7833
(623) 594-0114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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