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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

NPI # 1366723280
LBN Legal business name SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC
Authorized official MICHAEL PUCHOWICZ - (AUTHORIZED MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2011
Last updated 09/06/2011 - About 15 years ago
Identifiers
AZ License # 44940
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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