White Mountain Pediatrics, PC

NPI #1215150131 in Lakeside, Arizona

Provider Information

NPI Number: 1215150131
Entity Type: Organization
Organization Name: White Mountain Pediatrics, PC
Primary Specialty: Pediatrics
Enumeration Date: Apr 10, 2007
Last Updated: Oct 20, 2011

Practice Location

Address: 43 W WHITE MOUNTAIN BLVD
Address 2: SUITE B
City: Lakeside
State: Arizona
ZIP Code: 85929-7002
Phone: (928) 367-1300

Authorized Official

Name: DR. EDITH BAILEY, MD
Title: PRESIDENT
Phone: (928) 367-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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