Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 20008 | AZ |
N | 208000000X | Pediatrician | 20008 | AZ |
NPI | 1396775482 |
---|---|
Provider Name | Margaret A Pearson |
First Address | Scottsdale, AZ 85254-5216 |
Second Address | Scottsdale, AZ 85254-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 19/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063496 | (05) | AZ |
F06681 | (02) | AZ |