ROSE MEDICAL PAVILION PLLC NPI 1154101152

NPI Information

  • NPI: 1154101152
  • Provider Name: ROSE MEDICAL PAVILION PLLC
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Address: 22044 N 44TH ST STE 200
    PHOENIX, AZ
    ZIP 85050
  • Phone: (602) 341-5035

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NPI Details

ROSE MEDICAL PAVILION PLLC is a neurology with special qualifications in child neurology psychiatry neurology in Phoenix, AZ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. ROSE MEDICAL PAVILION PLLC NPI is 1154101152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22044 N 44TH ST STE 200
PHOENIX, AZ
ZIP 85050-104
Phone: (602) 341-5035

The provider's authorized official is Tamara Zach .
The authorized official title is Physician/owner and has the following contact phone number (602) 341-5035.

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.

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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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