Ponderosa Pediatricss Plc

LBN: Ponderosa Pediatricss Plc
Ponderosa Pediatricss Plc is an health care organization with primary practice located at 2120 Centerpointe West Drive , Prescott AZ 86301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ponderosa Pediatricss Plc can be contacted via phone (928) 443-1111, or through Harguess, Deann via phone (928) 443-1111.

Contact Information

Primary practice address
2120 Centerpointe West Drive Prescott AZ 86301
Phone: (928) 443-1111
Fax: (928) 443-5554
Website:
Map and Directions
Authorized official contact:
Name: Harguess, Deann
Phone: (928) 443-1111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1124243688
LBN Legal business name Ponderosa Pediatricss Plc
DBA Doing business as
Authorized official Harguess, Deann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated May 15th, 2008 - about 18 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 1124243688 NPPES
Arizona Other 1912976879 INDIVIDUAL NPI
Arizona Other 1144299090 INDIVIDUAL NPI
Arizona Other 1144299678 INDIVIDUAL NPI
Arizona Other 1336118926 INDIVIDUAL NPI
Arizona Other 1629047097 INDIVIDUAL NPI
Arizona Other 1881653558 INDIVIDUAL NPI
Arizona Other 1326169657 INDIVIDUAL NPI

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