Tlc Pediatrics Pllc

NPI #1154530111 in Phoenix, Arizona

Provider Information

NPI Number: 1154530111
Entity Type: Organization
Organization Name: Tlc Pediatrics Pllc
Primary Specialty: Specialist
Enumeration Date: May 22, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 16611 S 40TH ST
Address 2: SUITE# 160
City: Phoenix
State: Arizona
ZIP Code: 85048-0562
Phone: (480) 940-8527

Authorized Official

Name: DIANE K MATSUMOTO, MD
Title: OWNER
Phone: (480) 940-8527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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