Provider Demographics
NPI:1740140888
Name:DOBSON PEDIATRICS PA
Entity type:Organization
Organization Name:DOBSON PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-363-8366
Mailing Address - Street 1:2058 S DOBSON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6455
Mailing Address - Country:US
Mailing Address - Phone:480-820-4507
Mailing Address - Fax:480-491-2439
Practice Address - Street 1:2058 S DOBSON RD STE 6
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6455
Practice Address - Country:US
Practice Address - Phone:480-820-4507
Practice Address - Fax:480-491-2439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOBSON PEDIATRICS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty