Apache Junction Pediatrics

Pediatrics Physician · Apache Junction, AZ

Organization Active NPI

NPI number 1588866453

Practice location

1075 S Idaho Rd
Suite 206
Apache Junction, AZ 85219-6496
Phone
(480) 889-1234

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NPI record

NPI
1588866453
Entity type
Organization (Type 2)
Enumeration date
June 4, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X AP0241 AZ
Pediatrics Physician 208000000X 34596 AZ
Pediatrics Physician 208000000X 27900 AZ
Pediatrics Physician 208000000X 34587 AZ

Authorized official

Name
Mrs. Janet Gradle, CPNP
Title
Certified Pediatric Nurse Practione
Phone
(480) 889-1234

About Apache Junction Pediatrics

Apache Junction Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496. The NPI number 1588866453 was assigned on June 4, 2007 and the record was last updated on August 22, 2020.

Apache Junction Pediatrics lists 4 licenses in the registry: #AP0241 (AZ) for Pediatrics Physician; #34596 (AZ) for Pediatrics Physician; #27900 (AZ) for Pediatrics Physician; #34587 (AZ) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Janet Gradle, CPNP, Certified Pediatric Nurse Practione.

Frequently asked questions

What is the NPI number of Apache Junction Pediatrics?

The NPI number is 1588866453.

What is the phone number of Apache Junction Pediatrics?

The phone number listed for the practice location is (480) 889-1234.

Where is Apache Junction Pediatrics located?

1075 S Idaho Rd, Suite 206, Apache Junction, AZ 85219-6496.

What is the taxonomy code for Apache Junction Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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