National Provider Identifier Database

PONDEROSA PEDIATRICSS PLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PONDEROSA PEDIATRICSS PLC
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ86301
Phone: 928-443-1111
Fax: 928-443-5554
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PONDEROSA PEDIATRICSS PLC

NPI Number 1124243688
Legal business name
LBN
PONDEROSA PEDIATRICSS PLC
Authorized official DEANN HARGUESS - (CREDENTIALING BILLING)
Entity Organization
Organization subpart No
Enumeration date 04/17/2007
Last updated 05/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Other: 1144299090 INDIVIDUAL NPI
  • AZ Other: 1144299678 INDIVIDUAL NPI
  • AZ Other: 1326169657 INDIVIDUAL NPI
  • AZ Other: 1336118926 INDIVIDUAL NPI
  • AZ Other: 1629047097 INDIVIDUAL NPI
  • AZ Other: 1881653558 INDIVIDUAL NPI
  • AZ Other: 1912976879 INDIVIDUAL NPI

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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