Scottsdale Pediatric Center
NPI #1003938283 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1003938283
- Entity Type
- Organization
- Organization Name
- Scottsdale Pediatric Center
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10200 N 92ND ST
- Address 2
- SUITE 120
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85258-4534
- Phone
- (480) 860-1161
Authorized Official
- Name
- RUSSELLE WALLACE, M.D.
- Title
- PHYSICIAN
- Phone
- (480) 860-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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