| Organization Name: | JAVELINA PEDIATRICS PLLC |
| NPI Number: | 1265464424 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP S TRAQUAIR (PRESIDENT) |
| Mailing Address: | 1521 E Tangerine Rd Suite 205 Oro Valley |
| State: | AZ US |
| Postal Code: | 857556225 |
| Phone Number: | 5205310060 |
| Fax Number: | 5202250156 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 33911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |