DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTER FOR AUTISM RESEARCH AND EDUCATION

Active Organization

Pediatric Nutrition · PHOENIX, AZ

Registration Details

NPI Number
1073716700
Provider Type
Organization
NPI Issued
Jun 8, 2007 (18.88926427594 yrs)
Last Updated
Aug 11, 2011
License
19485 (AZ)

Practice Information

Address
4045 E UNION HILLS DR
SUITE 116
PHOENIX, AZ, 850503386
Browse AZ providers · Browse ZIP 85050
Phone
6022772273
Fax
6022772283
Primary Specialty
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.