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

Bethesda Pediatrics of Queen Creek

Organization Pediatrics Physician · NPI 1073102976

Bethesda Pediatrics of Queen Creek is a Pediatrics Physician in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

130 S 63rd St
Mesa, AZ 85206-1620
Phone: (480) 792-9200
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1073102976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacie Self — Billing · (480) 792-9200
Other names Main Street Pediatrics; Pediatrics Of Queen Creek
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142-7568

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