Business Name
Physician First Name
Joseph
Physician Middle Initial
John
Physician Last Name
Wells
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Ave
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(602)846-3778
ASPA Effective Date
4/7/1987
Business Name
Physician First Name
Mark
Physician Middle Initial
Kenneth
Physician Last Name
Patton
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
6/1/2015
Business Name
Physician First Name
Harry
Physician Middle Initial
Lee
Physician Last Name
Broome, Jr.
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
9/14/2015
Business Name
Physician First Name
Fred
Physician Middle Initial
Paul
Physician Last Name
Shulski
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Ave
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(602)846-3778
ASPA Effective Date
9/18/2001
Business Name
Physician First Name
Jennifer
Physician Middle Initial
Lynn
Physician Last Name
Holmgren
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
5/4/2015
Business Name
Physician First Name
Kristen
Physician Middle Initial
Marie
Physician Last Name
Buchanan
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
9/14/2015
Business Name
Physician First Name
Michelle
Physician Middle Initial
Diane
Physician Last Name
Howland
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
5/4/2015
Business Name
Physician First Name
Mark
Physician Middle Initial
L.
Physician Last Name
Greenberg
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Ave
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(602)846-3778
ASPA Effective Date
1/9/2017
Business Name
Physician First Name
Christopher
Physician Middle Initial
Steven
Physician Last Name
Cwik
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Avenue
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(623)846-3778
ASPA Effective Date
9/12/2016
Business Name
Physician First Name
Brent
Physician Middle Initial
Allen
Physician Last Name
Bjornsen
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
4700 N. 51st Ave
85031
85031
Suite
Suite 4
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(623)846-7575
Business Website Address
Business Fax
(602)846-3778
ASPA Effective Date
6/4/2018