| Pediatric Weight Management Clinic | |
|
8432 W Larkspur Dr Peoria AZ 85381-5177 | |
| (623) 340-0800 | |
| Not Available |
| Full Name | Pediatric Weight Management Clinic |
|---|---|
| Speciality | Case Management |
| Location | 8432 W Larkspur Dr, Peoria, Arizona |
| Authorized Official Name and Position | Michaesha Griffin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6233400800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Weight Management Clinic 8432 W Larkspur Dr Peoria AZ 85381-5177 Ph: (623) 340-0800 | Pediatric Weight Management Clinic 8432 W Larkspur Dr Peoria AZ 85381-5177 Ph: (623) 340-0800 |
| NPI Number | 1093190266 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093190266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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