Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bethesda Pediatrics of Queen Creek

Organization Pediatrics Physician · NPI 1073102976

Bethesda Pediatrics of Queen Creek provides Pediatrics Physician services in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

130 S 63rd St
Mesa, AZ 85206-1620
Phone: (480) 792-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1073102976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacie Self — Billing · (480) 792-9200
Other names Main Street Pediatrics; Pediatrics Of Queen Creek
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142-7568

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