| Extraordinary Kids Llc | |
|
14392 W Bloomfield Rd Surprise AZ 85379-5593 | |
| (781) 696-3657 | |
| Not Available |
| Full Name | Extraordinary Kids Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14392 W Bloomfield Rd, Surprise, Arizona |
| Authorized Official Name and Position | Ej Snetsky (OWNER) |
| Authorized Official Contact | 7816963657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extraordinary Kids Llc Po Box 1355 Surprise AZ 85378-1355 Ph: () - | Extraordinary Kids Llc 14392 W Bloomfield Rd Surprise AZ 85379-5593 Ph: (781) 696-3657 |
| NPI Number | 1477348407 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477348407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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