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PEDIATRIC MEDICAL ASSOCIATES NPI 1972768968


NPI Information

NPI: 1972768968
Provider Name: PEDIATRIC MEDICAL ASSOCIATES

Doing Business As: PEDIATRIC MEDICAL ASSOCIATES

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D0707480

Address:
4824 E BASELINE RD BLDG 3
SUITE 125
MESA, AZ
ZIP 85206
Phone: (480) 839-4848
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PEDIATRIC MEDICAL ASSOCIATES is a pediatrics in Mesa, 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. PEDIATRIC MEDICAL ASSOCIATES NPI is 1972768968. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Medical Associates.

The provider's business location address is:

4824 E BASELINE RD BLDG 3
SUITE 125
MESA, AZ
ZIP 85206-676
Phone: (480) 839-4848
Fax: (480) 833-8310

The provider's authorized official is Louis Iorio .
The authorized official title is President and has the following contact phone number (602) 228-3986.

The CLIA number assigned to this NPI record is 03D0707480 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2008 and was last updated on 7/19/2008.


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
1208000000XPediatrics12191ARIZONAYes

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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