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Southwestern Pediatricspllc
Family Nurse Practitioner in Maricopa, Arizona
NPI 1093033110

Southwestern Pediatricspllc is a Family Nurse Practitioner based in Maricopa, AZ and is specialized in Family. Southwestern Pediatricspllc practices in Maricopa, AZ. The NPI Number for Southwestern Pediatricspllc is 1093033110 and holds a License No. AP3529 (Arizona).

The current practice location address for Southwestern Pediatricspllc is 21300 N John Wayne Pkwy Ste 109, Maricopa, AZ and can be reached out via phone at 520-568-9500 and via fax at 520-568-9533.

Location: 21300 N John Wayne Pkwy Ste 109, Maricopa, AZ, 85139-8964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093033110
Provider Name
Southwestern Pediatricspllc
Credential
Provider Entity Type
Organization
Address
21300 N John Wayne Pkwy Ste 109, Maricopa, AZ, 85139-8964
Phone Number
520-568-9500
Fax Number
520-568-9533
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21300 N John Wayne Pkwy Ste 109
City
Maricopa
State
Arizona
Zip
85139-8964
Phone Number
520-568-9500
Fax Number
520-568-9533
person
Provider Business Mailing Address Details
Address
21300 N John Wayne Pkwy Ste 109
City
Maricopa
State
Arizona
Zip
85139-8964
Phone Number
520-568-9500
Fax Number
520-568-9533
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP3529 (Arizona)
Definition
Definition to come...
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