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

Mountain Pediatrics Clinic PLLC

Organization Pediatrics Physician · NPI 1033273735

Mountain Pediatrics Clinic PLLC is a Pediatrics Physician in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5171 Cub Lake Rd Ste B230
Show Low, AZ 85901-7888
Phone: (928) 537-3500
Fax: (928) 537-3552
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 31953 (AZ)

Record details

NPI number1033273735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Todhunter — Owner · (928) 537-3500
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5171 Cub Lake Rd, Suite B230, Show Low, AZ 85901-7888

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