NPI 1104818822

Arizona Childrens Surgery PC

Organisation Pediatric Surgery Physician Mesa, AZ

Practice location

Address: 1432 S Dobson Rd STE 301, Mesa, AZ 85202-4768
Phone: (480) 464-9400
Fax: (480) 464-9401
Mailing address: PO Box 41090, Mesa, AZ 85274-1090

Authorised official

Name: Enrique Ricardo Grisoni
Title: Director
Phone: (480) 512-6514

Registered specialties

Pediatric Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0120X Licence 28876 (AZ)

Other Surgery providers in Arizona →

Registry record

NPI: 1104818822
Entity type: Organization
NPI issued: 18 Aug 2005
Record last updated: 18 Jul 2007

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.