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SAGUARC PEDIATRICS PLLC NPI 1427388297


NPI Information

NPI: 1427388297
Provider Name: SAGUARC PEDIATRICS PLLC

Other Name: JUDITH BARNES-CLARK, LLC DBA BUILDING BLOCKS PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4530 E. RAY RD
STE 130
PHOENIX, AZ
ZIP 85044
Phone: (480) 783-8960
Get Directions

SAGUARC PEDIATRICS PLLC 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. SAGUARC PEDIATRICS PLLC NPI is 1427388297. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Judith Barnes-clark, Llc Dba Building Blocks Pediatrics.

The provider's business location address is:

4530 E. RAY RD
STE 130
PHOENIX, AZ
ZIP 85044
Phone: (480) 783-8960
Fax: (780) 783-8967

The provider's authorized official is Dwayne Michael St. Jacques .
The authorized official title is Owner and has the following contact phone number (480) 783-8960.

The enumeration date for this NPI number is 12/30/2009 and was last updated on 12/30/2009.


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
1208000000XPediatrics32674ARIZONANo
2208000000XPediatrics24143ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1424052OTHERARIZONAAHCCCS
2G57706MEDICARE UPINARIZONA

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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