OrganizationActive
Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA
NPI 1225051618 · Maternal & Fetal Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1225051618
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Dwyer, Assistant Secretary(954) 384-0175
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Orthopaedic Surgery Physician207XP3100X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4722 N 24th St Ste 150
Phoenix, AZ 85016-4860
Phone: (877) 885-0588
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.