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NPI Code Detail

MEDICARE: DESERT SHORES PEDIATRICS

MEDICARE: DESERT SHORES PEDIATRICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1124386487
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT SHORES PEDIATRICS
Provider Business Mailing Address
First Line : 6285 S HIGLEY RD
Second Line :
City : GILBERT
State : AZ
Zip : 85298-4262
Country : US
Telephone Number : 480-460-4949
Fax Number : 480-460-5858
Provider Business Practice Location Address
First Line : 6285 S HIGLEY RD
Second Line :
City : GILBERT
State : AZ
Zip : 85298-4262
Country : US
Telephone Number : 480-460-4949
Fax Number : 480-460-5858
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTINE PHILLIPS HOLMES
Credential : MD
Telephone Number : 480-460-4949
Provider Enumeration Date : 04/24/2012
Last Update Date : 07/16/2020

Similar Medicare Providers

1679571285 — DR. CHRISTINE PHILLIPS HOLMES MD
Practice Location Address:
6285 S HIGLEY RD
GILBERT, AZ
85298-4262
Practice Phone: 480-460-4949
Practice Fax: 480-460-5858
1437113792 — SHARON MARIE ALLRED MD
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1891750758 — DR. TAMARA JOY JOHNSON D.O.
Practice Location Address:
6285 S HIGLEY RD
GILBERT, AZ
85298-4262
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Practice Fax: 480-460-5858
1174622914 — DR. JEAN MULLEN M.C.
Practice Location Address:
6285 S HIGLEY RD
GILBERT, AZ
85298-4262
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Practice Fax: 480-460-5858
1750411203 — KELLI S GARLAND CPNP
Practice Location Address:
6285 S HIGLEY RD
GILBERT, AZ
85298-4262
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Practice Fax: 480-460-5858
1235332990 — STACI ANN CRUZ PA C
Practice Location Address:
6285 S HIGLEY RD
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85298-4262
Practice Phone: 480-460-4949
Practice Fax: 480-460-5858

Directions to “DESERT SHORES PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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