| Shea Pediatrics Pc | |
|
8952 E Desert Cove Dr Ste 110 Scottsdale AZ 85260-6776 | |
| (480) 767-3169 | |
| (480) 767-0963 |
| Full Name | Shea Pediatrics Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 8952 E Desert Cove Dr Ste 110, Scottsdale, Arizona |
| Authorized Official Name and Position | Duc C Vo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4807673169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shea Pediatrics Pc 8952 E Desert Cove Dr Ste 110 Scottsdale AZ 85260-6776 Ph: (480) 767-3169 | Shea Pediatrics Pc 8952 E Desert Cove Dr Ste 110 Scottsdale AZ 85260-6776 Ph: (480) 767-3169 |
| NPI Number | 1659489193 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659489193 | NPI | - | NPPES |
| 793861 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24040 (Arizona) | Secondary |
| 208000000X | Pediatrics | 24040 (Arizona) | Primary |
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