Southwestern Pediatrics LLC

NPI #1023347150 in Maricopa, Arizona

Provider Information

NPI Number
1023347150
Entity Type
Organization
Organization Name
Southwestern Pediatrics LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHWESTERN PEDIATRICS LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 21, 2009
Last Updated
Dec 21, 2009

Practice Location

Address
21300 N JOHN WAYNE PKWY
Address 2
STE 109
State
Arizona
ZIP Code
85139-8979
Phone
(520) 568-9500

Authorized Official

Name
SULTAN AYOUB, FNP
Title
FAMILY NURSE PRACTIONER
Phone
(520) 568-9500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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