PEDIATRIA
Ambulatory Health at Maryvale Pkwy, Phoenix, AZ

License number
Arizona 17010
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JAIME BALDERRAMA M.D.
Title: CEO
Phone: (623) 845-9009
Address
Address
4524 N Maryvale Pkwy SUITE 110, Phoenix, AZ 85031
National Provider ID: 1801064753
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEDIATRIA at bizstanding.com

PEDIATRIA, PC

4524 N Maryvale Pkwy #110, Phoenix, AZ 85031

Registration:
Oct 3, 2005
State ID:
-1232461-1
Expiration:
PERPETUAL
Secretarys:
Jaime Balderrama (President), 4524 N Maryvale Pkwy #110, Phoenix, AZ 85031 (Physical),Jislen Balderrama (Secretary), 4524 N Maryvale Pkwy #110, Phoenix, AZ 85031 (Physical)

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