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CORNERSTONE PEDIATRICS P.C. NPI 1679851455


NPI Information

NPI: 1679851455
Provider Name: CORNERSTONE PEDIATRICS, P.C.

Doing Business As: CORNERSTONE PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D0996599

Address:
7875 E FLORENTINE RD
SUITE A
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 443-5599
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CORNERSTONE PEDIATRICS, P.C. is a primary care clinic center in Prescott Valley, AZ. CORNERSTONE PEDIATRICS, P.C. NPI is 1679851455. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Pediatrics.

The provider's business location address is:

7875 E FLORENTINE RD
SUITE A
PRESCOTT VALLEY, AZ
ZIP 86314-284
Phone: (928) 443-5599
Fax: (928) 443-5376

The provider's authorized official is Shelly Fay Klein .
The authorized official title is Owner/md and has the following contact phone number (928) 443-5599.

The CLIA number assigned to this NPI record is 03D0996599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2011 and was last updated on 7/28/2011.


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
1261QP2300XClinic/CenterPrimary CareYes

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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