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

Bellair Medical Clinic, PC

Organization Pediatrics Physician · NPI 1104946771

Bellair Medical Clinic, PC is a Pediatrics Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
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

17250 N 43rd Ave Ste 4
Glendale, AZ 85308-4035
Phone: (602) 978-4157
Fax: (602) 938-8064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 6919 (AZ)

Record details

NPI number1104946771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amor Villareal — Trustee · (602) 978-4157
NPI enumeratedMarch 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17250 N 43rd Ave, Suite 4, Glendale, AZ 85308-4035

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