All-Star Pediatrics, Pllc

LBN: All-Star Pediatrics, Pllc
All-Star Pediatrics, Pllc is an health care organization with primary practice located at 4915 E Baseline Rd Ste 119, Gilbert AZ 85234-2965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. All-Star Pediatrics, Pllc can be contacted via phone (480) 832-0480, or through Mousser, Steve via phone (480) 832-0480.

Contact Information

Primary practice address
4915 E Baseline Rd Ste 119 Gilbert AZ 85234-2965
Phone: (480) 832-0480
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mousser, Steve Doctor of Medicine (MD)
Phone: (480) 832-0480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1073801056
LBN Legal business name All-Star Pediatrics, Pllc
DBA Doing business as
Authorized official Mousser, Steve Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2011
Last updated Nov 7th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073801056 NPPES
Arizona MEDICAID 634489

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