Provider First Line Business Practice Location Address:
797 N. ALMA SCHOOL RD; SUITE A8, BETHESDA PEDIATRICS,
Provider Second Line Business Practice Location Address:
ATTN: DREW AINSWORTH (BUSINESS MANAGER)
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-222-6770
Provider Business Practice Location Address Fax Number:
480-222-6771
Provider Enumeration Date:
09/12/2011