NPI 1104946771

Bellair Medical Clinic, P.C.

Organisation Pediatrics Physician Glendale, AZ

Practice location

Address: 17250 N 43rd Ave Suite 4, Glendale, AZ 85308-4035
Phone: (602) 978-4157
Fax: (602) 938-8064

Authorised official

Name: Amor C. Villareal
Title: Trustee
Phone: (602) 978-4157

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 6919 (AZ)

Other Pediatrics providers in Arizona →

Registry record

NPI: 1104946771
Entity type: Organization
NPI issued: 29 Mar 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.