Healthcare Provider Details

I. General information

NPI: 1437394996
Provider Name (Legal Business Name): SOUTHWEST PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 12/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 W INDIAN SCHOOL RD STE. 7
PHOENIX AZ
85037-2384
US

IV. Provider business mailing address

5602 E MARILYN RD
SCOTTSDALE AZ
85254-2460
US

V. Phone/Fax

Practice location:
  • Phone: 623-931-3028
  • Fax: 623-931-3029
Mailing address:
  • Phone: 623-931-3028
  • Fax: 623-931-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21802
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL Z ARBEL
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 623-931-3028