Children's Medical Group, Ltd

NPI #1003096801 in Glendale, Arizona

Provider Information

NPI Number: 1003096801
Entity Type: Organization
Organization Name: Children's Medical Group, Ltd
Primary Specialty: Pediatrics
Enumeration Date: Nov 8, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 5757 W THUNDERBIRD RD
Address 2: E 255
City: Glendale
State: Arizona
ZIP Code: 85306-4641
Phone: (602) 843-4149

Authorized Official

Name: DR. AGNES T LARDIZABAL, M.D.
Title: PHYSICIAN/PRESIDENT
Phone: (602) 843-4149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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