Healthcare Provider Details

I. General information

NPI: 1861584583
Provider Name (Legal Business Name): ARROWHEAD PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18700 N 64TH DR STE 301
GLENDALE AZ
85308-7109
US

IV. Provider business mailing address

18700 N 64TH DR STE 301
GLENDALE AZ
85308-7109
US

V. Phone/Fax

Practice location:
  • Phone: 623-561-5437
  • Fax: 623-561-2316
Mailing address:
  • Phone: 623-561-5437
  • Fax: 623-561-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2440
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33404
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number30213
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2208
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3229
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4394
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3489
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36022
License Number StateAZ
# 9
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3326
License Number StateAZ

VIII. Authorized Official

Name: ANDI STONECIPHER
Title or Position: OFFICE COORDINATOR
Credential:
Phone: 623-537-2501