Javelina Pediatrics Pllc
Pediatric Adolescent Medicine
Javelina Pediatrics Pllc is a Oro Valley, Arizona based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1521 E Tangerine Rd, Suite 205, Oro Valley, Arizona - 85755-6225. They can be contacted on phone at
520-531-0060 and fax number 520-225-0156.
NPI number (Unique professional ID) for Javelina Pediatrics Pllc is
1265464424 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 21 Jan, 2009.
Javelina Pediatrics Pllc license number is
33911 for Pediatrics Adolescent Medicine (2080A0000X) in Arizona.
Javelina Pediatrics Pllc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Javelina Pediatrics Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Javelina Pediatrics Pllc |
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Business Address:
Javelina Pediatrics Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1521 E Tangerine Rd, Suite 205
Oro Valley, AZ, 85755-6225
United States |
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| Phone Number : | 520-531-0060 |
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| Fax Number : | 520-225-0156 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265464424 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 21 Jan, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Philips Traquair |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 520-531-0060 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Javelina Pediatrics Pllc are as mentioned. Primary taxonomy code for Javelina Pediatrics Pllc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 33911 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Javelina Pediatrics Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 945925 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1521 E Tangerine Rd, Suite 205
Oro Valley, AZ, 85755-6225
United States |
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| Phone Number : | 520-531-0060 |
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| Fax Number : | 520-225-0156 |
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Business Location:
Patients can refer following map for directions to
Javelina Pediatrics Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.