Mountain Pediatrics Clinic Pllc

NPI #1033273735 in Show Low, Arizona

Provider Information

NPI Number
1033273735
Entity Type
Organization
Organization Name
Mountain Pediatrics Clinic Pllc
Primary Specialty
Pediatrics
Enumeration Date
Dec 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
5171 CUB LAKE ROAD
Address 2
SUITE B230
State
Arizona
ZIP Code
85901-7888
Phone
(928) 537-3500

Authorized Official

Name
RICHARD TODHUNTER, M.D.
Title
OWNER
Phone
(928) 537-3500

Specialties & Taxonomy Codes

Specialty
Pediatrics

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