Canton Pediatrics P.C.

LBN: Canton Pediatrics P.C.
Canton Pediatrics P.C. is an health care organization with primary practice located at 4615 S Central Ave Suite A, Phoenix AZ 85040-2148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Canton Pediatrics P.C. can be contacted via phone (602) 232-2737, or through Canton, Lucas S via phone (602) 232-2737.

Contact Information

Primary practice address
4615 S Central Ave Suite A Phoenix AZ 85040-2148
Phone: (602) 232-2737
Fax: (602) 232-2736
Website:
Map and Directions
Authorized official contact:
Name: Canton, Lucas S Doctor of Medicine (MD)
Phone: (602) 232-2737

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1487758843
LBN Legal business name Canton Pediatrics P.C.
DBA Doing business as
Authorized official Canton, Lucas S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487758843 NPPES
Arizona Other 826688 AHCCCS

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