Healthcare Provider Details

I. General information

NPI: 1205540747
Provider Name (Legal Business Name): PAPA BEAR PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 W MCDOWELL RD STE B100
PHOENIX AZ
85009-2102
US

IV. Provider business mailing address

3911 W MCDOWELL RD STE B100
PHOENIX AZ
85009-2102
US

V. Phone/Fax

Practice location:
  • Phone: 602-423-4264
  • Fax:
Mailing address:
  • Phone: 602-423-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY CURVAN
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 602-423-4264