NPI 1104021088
Ipc
Practice location
- Address
- 10835 N 25th Ave STE 115, Phoenix, AZ 85029-3452
- Phone
- (480) 517-4929
Authorised official
- Name
- Maria Raquel Saldivar
- Title
- Staff Physician
- Phone
- (480) 517-4929
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1104021088
- Entity type
- Organization
- NPI issued
- 19 Jun 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.