Basic Information
Provider Information
NPI: 1003011370
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRIFFITHS
FirstName: PAMELA
MiddleName: SUE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HILVERS
OtherFirstName: PAMELA
OtherMiddleName: SUE
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 1282 E CURRY RD
Address2:  
City: TEMPE
State: AZ
PostalCode: 852811863
CountryCode: US
TelephoneNumber: 6026946655
FaxNumber:  
Practice Location
Address1: 4722 N 24TH ST
Address2: 150
City: PHOENIX
State: AZ
PostalCode: 850164800
CountryCode: US
TelephoneNumber: 6022564628
FaxNumber: 6026276325
Other Information
ProviderEnumerationDate: 06/18/2007
LastUpdateDate: 03/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X22886WVN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001X50068AZY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
2080N0001XP1326TXN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

ID Information
IDTypeStateIssuerDescription
2288601WVWV BOARD OF MEDICINEOTHER
5006801AZARIZONA STATE LICENSEOTHER
P132601TXSTATE MEDICAL BOARDOTHER


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