Basic Information
| Provider Information | |||||||||
| NPI: | 1194944330 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALL ABOUT KIDS PEDIATRICS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4450 S RURAL RD | ||||||||
| Address2: | SUITE C 216 | ||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852827037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808203188 | ||||||||
| FaxNumber: | 4808385033 | ||||||||
| Practice Location | |||||||||
| Address1: | 4450 S RURAL RD | ||||||||
| Address2: | SUITE C 216 | ||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852827037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808203188 | ||||||||
| FaxNumber: | 4808385033 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | SHOPTAUGH | ||||||||
| AuthorizedOfficialFirstName: | MARGERY | ||||||||
| AuthorizedOfficialMiddleName: | AMY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4808203188 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | AZ | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.