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Contact Information

SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC
4731 S WHITE MOUNTAIN RD
SHOW LOW, AZ85901-7818
 Phone: 203-913-7092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SOLSTICE PEDIATRICS AND SPORTS MEDICINE PLC · (Female)

NPI Number 1366723280
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2011
Last updated 09/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 44940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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