Phoenix Children's Medical Group

NPI #1154660959 in Avondale, Arizona

Provider Information

NPI Number
1154660959
Entity Type
Organization
Organization Name
Phoenix Children's Medical Group
Subpart
Yes (part of a larger organization)
Parent Organization
PHOENIX CHILDREN'S HOSPITAL, INC.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Feb 14, 2013
Last Updated
May 22, 2023

Practice Location

Address
1665 N AVONDALE BLVD
State
Arizona
ZIP Code
85392-5003
Phone
(602) 933-0005

Authorized Official

Name
RAHEEL FAROUGH
Title
SVP, MANAGED CARE & PAYER STRATEGY
Phone
(602) 933-3548

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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