Southeast Pediatrics

NPI #1851670079 in Gilbert, Arizona

Provider Information

NPI Number: 1851670079
Entity Type: Organization
Organization Name: Southeast Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Aug 4, 2011
Last Updated: Aug 4, 2011

Practice Location

Address: 2730 S VAL VISTA DR STE 161
City: Gilbert
State: Arizona
ZIP Code: 85295-1680
Phone: (480) 857-6316

Authorized Official

Name: DR. KHALID HASAN, M.D.
Title: OWNER
Phone: (480) 857-6316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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