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CLASSIC CARE PEDIATRICS LLC NPI 1689915324


NPI Information

NPI: 1689915324
Provider Name: CLASSIC CARE PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
7757 W DEER VALLEY RD
SUITE275
PEORIA, AZ
ZIP 85382
Phone: (623) 262-4926
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CLASSIC CARE PEDIATRICS LLC is a pediatrics in Peoria, 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. CLASSIC CARE PEDIATRICS LLC NPI is 1689915324. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7757 W DEER VALLEY RD
SUITE275
PEORIA, AZ
ZIP 85382-118
Phone: (623) 262-4926

The provider's authorized official is Mark Josephe Gettleman .
The authorized official title is Ceo and has the following contact phone number (623) 262-4926.

The enumeration date for this NPI number is 3/5/2013 and was last updated on 3/5/2013.


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
1208000000XPediatrics23947ARIZONAYes

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

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