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SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE PLC NPI 1841721461


NPI Information

NPI: 1841721461
Provider Name: SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 03D2132924

Address:
2204 S DOBSON RD
MESA, AZ
ZIP 85202
Phone: (480) 757-6457
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SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC is a pediatric endocrinology pediatrics in Mesa, AZ. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. SONORAN PEDIATRIC ENDOCRINOLOGY & DIABETES INSTITUTE, PLC NPI is 1841721461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2204 S DOBSON RD
MESA, AZ
ZIP 85202-457
Phone: (480) 757-6457
Fax: (480) 378-7090

The provider's authorized official is Brenda Gibbs .
The authorized official title is Practice Manager and has the following contact phone number (480) 757-6457.

The CLIA number assigned to this NPI record is 03D2132924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/17/2018.


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
12080P0205XPediatricsPediatric Endocrinology49420ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1961725MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.