Phoenix Children's Medical Group
Phoenix Children's Medical Group is a Multi-Specialty Clinic/Center in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
Practice location Address checks out
1665 N Avondale BlvdAvondale, AZ 85392-5003
Phone: (602) 933-0005
Fax: (602) 933-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence SH3107 (AZ) |
|---|
Record details
| NPI number | 1154660959 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Phoenix Children's Hospital, Inc |
| Authorized official | Raheel Farough — Svp, Managed Care & Payer Strategy · (602) 933-3548 |
| Other names | Phoenix Children'S Ambulatory Specialty Center - Avondale; Phoenix Children'S Ambulatory Specialty Center - Avondale |
| NPI enumerated | February 14, 2013 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 |
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