Bethesda Pediatrics of Queen Creek
NPI #1063727766 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1063727766
- Entity Type
- Organization
- Organization Name
- Bethesda Pediatrics of Queen Creek
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 18, 2010
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 22707 S ELLSWORTH RD STE H101
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142-7568
- Phone
- (480) 792-9200
Authorized Official
- Name
- ELMER PORTILLO
- Title
- CFO
- Phone
- (602) 531-0302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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