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PEDIATRIC ASSOCIATES PC NPI 1194810127


NPI Information

NPI: 1194810127
Provider Name: PEDIATRIC ASSOCIATES PC

Other Name: CORPORATION

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D0718167

Address:
7600 N 15TH ST
#130
PHOENIX, AZ
ZIP 85020
Phone: (602) 861-1611
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PEDIATRIC ASSOCIATES PC is a pediatrics in Phoenix, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ASSOCIATES PC NPI is 1194810127. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Corporation.

The provider's business location address is:

7600 N 15TH ST
#130
PHOENIX, AZ
ZIP 85020-347
Phone: (602) 861-1611
Fax: (602) 371-8929

The provider's authorized official is David Ralph Lersch .
The authorized official title is President and has the following contact phone number (602) 861-1611.

The CLIA number assigned to this NPI record is 03D0718167 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 11/14/2023

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