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

Organization Pediatrics Physician · NPI 1063727766

Bethesda Pediatrics of Queen Creek is a Pediatrics Physician in Queen Creek, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
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Practice location Address checks out

22707 S Ellsworth Rd Ste H101
Queen Creek, AZ 85142-7568
Phone: (480) 792-9200
Fax: (480) 792-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 299 W Central Ave, Coolidge, AZ 85128-4724 — (520) 723-1939
  • 130 S 63rd St, Mesa, AZ 85206-1620 — (480) 792-9200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 43623 (AZ)

Record details

NPI number1063727766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elmer Portillo — Cfo · (602) 531-0302
Other names Pediatrics Of Queen Creek; Pediatrics Of Queen Creek
NPI enumeratedAugust 18, 2010
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142-7568

Other providers in Queen Creek