Whalio Doctors

NPI 1124012604

Agnes T Lardizabal, MD

Practitioner Pediatrics Physician Peoria, AZ

Practice location

Address
6780 W Thunderbird Rd Suite A101, Peoria, AZ 85381-5049
Phone
(602) 843-1991
Fax
(602) 843-3224

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 15285 (AZ)

Registry record

NPI
1124012604
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Sep 2005
Record last updated
21 Aug 2014

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.