SURPRISE PEDIATRICS NPI 1801893425

NPI Details

SURPRISE PEDIATRICS is a legal medicine in Surprise, AZ. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. SURPRISE PEDIATRICS NPI is 1801893425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14239 W BELL RD
SUITE 112
SURPRISE, AZ
ZIP 85374-469
Phone: (623) 876-9983
Fax: (623) 876-9984

The provider's authorized official is Nicholas Minh Pham .
The authorized official title is Ceo and has the following contact phone number (623) 876-9983.

The CLIA number assigned to this NPI record is 03D1106218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2005 and was last updated on 10/21/2014.

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: