ARIZONA CHILDRENS SURGERY PC NPI 1104818822

NPI Information

NPI: 1104818822
Provider Name: ARIZONA CHILDRENS SURGERY PC

Former Legal Business Name: EAST VALLEY PEDIATRIC SURGERY

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
1432 S DOBSON RD
STE 301
MESA, AZ
ZIP 85202
Phone: (480) 464-9400
Get Directions

ARIZONA CHILDRENS SURGERY PC is a pediatric surgery surgery in Mesa, AZ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. ARIZONA CHILDRENS SURGERY PC NPI is 1104818822. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is East Valley Pediatric Surgery.

The provider's business location address is:

1432 S DOBSON RD
STE 301
MESA, AZ
ZIP 85202-768
Phone: (480) 464-9400
Fax: (480) 464-9401

The provider's authorized official is Enrique Ricardo Grisoni .
The authorized official title is Director and has the following contact phone number (480) 512-6514.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 7/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	28876	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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