Premiere Pediatrics, PC

NPI #1134291982 in Clarkston, Michigan

Provider Information

NPI Number: 1134291982
Entity Type: Organization
Organization Name: Premiere Pediatrics, PC
Primary Specialty: Pediatrics
Enumeration Date: Nov 15, 2006
Last Updated: Apr 16, 2012

Practice Location

Address: 7210 N MAIN ST
Address 2: SUITE 205
City: Clarkston
State: Michigan
ZIP Code: 48346-1575
Phone: (248) 625-9755

Authorized Official

Name: JAMES CHARLES SHAYA, M.D.
Title: PRESIDENT
Phone: (248) 625-9755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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