Pediatric Weight Management Clinic

NPI #1093190266 in Peoria, Arizona

Provider Information

NPI Number: 1093190266
Entity Type: Organization
Organization Name: Pediatric Weight Management Clinic
Primary Specialty: Case Management
Enumeration Date: Jul 29, 2015
Last Updated: Jul 29, 2015

Practice Location

Address: 8432 W LARKSPUR DR
City: Peoria
State: Arizona
ZIP Code: 85381-5177
Phone: (623) 340-0800

Authorized Official

Name: MICHAESHA GRIFFIN
Title: EXECUTIVE DIRECTOR
Phone: (623) 340-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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