Foundations Pediatric Clinic

NPI #1558085498 in Glendale, Arizona

Provider Information

NPI Number: 1558085498
Entity Type: Organization
Organization Name: Foundations Pediatric Clinic
Primary Specialty: Pediatrics
Enumeration Date: Oct 3, 2022
Last Updated: Nov 7, 2023

Practice Location

Address: 5400 W NORTHERN AVE STE 101
City: Glendale
State: Arizona
ZIP Code: 85301-1590
Phone: (480) 847-0900

Authorized Official

Name: DR. NAILAH COOPER, MD
Title: MEMBER MANAGER
Phone: (480) 847-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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