SANSON PEDIATRICS P.C. NPI 1689867517

NPI Information

NPI: 1689867517
Provider Name: SANSON PEDIATRICS, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
203 S CANDY LN
SUITE 6B
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-1559
Get Directions

SANSON PEDIATRICS, P.C. is a primary care clinic center in Cottonwood, AZ. SANSON PEDIATRICS, P.C. NPI is 1689867517. The provider is registered as an organization entity type.

The provider's business location address is:

203 S CANDY LN
SUITE 6B
COTTONWOOD, AZ
ZIP 86326-120
Phone: (928) 649-1559
Fax: (928) 649-1427

The provider's authorized official is Jayne Ann Sanson-jaraczewski .
The authorized official title is President and has the following contact phone number (928) 649-1559.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 8/23/2007.

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
1	261QP2300X	Clinic/Center	Primary Care	30834	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	728454	MEDICAID	ARIZONA
2	728454002	OTHER	ARIZONA	APIPA

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: 4/28/2024

NPI Synchronization or Removal

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