Healthcare Provider Details

I. General information

NPI: 1740140888
Provider Name (Legal Business Name): DOBSON PEDIATRICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2058 S DOBSON RD STE 6
MESA AZ
85202-6455
US

IV. Provider business mailing address

2058 S DOBSON RD STE 6
MESA AZ
85202-6455
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-4507
  • Fax: 480-491-2439
Mailing address:
  • Phone: 480-820-4507
  • Fax: 480-491-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RUTH LIM
Title or Position: MD
Credential: MD
Phone: 480-363-8366