Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Childrens Surgery PC

Organization Pediatric Surgery Physician · NPI 1104818822

Arizona Childrens Surgery PC is a Pediatric Surgery Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1432 S Dobson Rd Ste 301
Mesa, AZ 85202-4768
Phone: (480) 464-9400
Fax: (480) 464-9401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 28876 (AZ)

Record details

NPI number1104818822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Grisoni — Director · (480) 512-6514
Other names East Valley Pediatric Surgery
NPI enumeratedAugust 18, 2005
Last updated in NPPESJuly 18, 2007
Mailing addressPo Box 41090, Mesa, AZ 85274-1090

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