NPI 1336767342
Kidshealth Pediatrics Pllc(glendale)
Practice location
- Address
- 5750 W Thunderbird Rd STE F620, Glendale, AZ 85306-4690
- Phone
- (602) 374-3396
- Mailing address
- 5425 E Bell Rd STE 131, Scottsdale, AZ 85254-6010
Authorised official
- Name
- Maria Louella Nabong
- Title
- Physician/Owner
- Phone
- (602) 374-3396
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1336767342
- Entity type
- Organization
- NPI issued
- 7 Jul 2020
- Record last updated
- 7 Jul 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.