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CAMELBACK PEDIATRICS PC NPI 1831257575


NPI Information

NPI: 1831257575
Provider Name: CAMELBACK PEDIATRICS PC

Former Legal Business Name: THE PEDIATRIC CLINIC LTD

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D0527432

Address:
4350 E CAMELBACK ROAD
SUITE G100
PHOENIX, AZ
ZIP 85018
Phone: (602) 840-3120
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CAMELBACK PEDIATRICS 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. CAMELBACK PEDIATRICS PC NPI is 1831257575. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is The Pediatric Clinic Ltd.

The provider's business location address is:

4350 E CAMELBACK ROAD
SUITE G100
PHOENIX, AZ
ZIP 85018-720
Phone: (602) 840-3120
Fax: (602) 840-3237

The provider's authorized official is David R Alexander .
The authorized official title is President and has the following contact phone number (602) 840-3120.

The CLIA number assigned to this NPI record is 03D0527432 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 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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