Amory Godwin Caringal Grijaldo

NPI 1487045795 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1487045795
Gender Male
Enumeration Date 02/09/2015
Last Updated 02/09/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
337 E CORONADO RD
SUITE 201
PHOENIX AZ, 85004-1580, US
Phone (602) 252-8081
Fax
Business Location
6719 W MINER TRL
PEORIA AZ, 85383-3007, US
Phone (623) 256-6994
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Arizona
License Number AP7637
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According to our database, Mr. Amory Godwin Caringal Grijaldo NPI is 1487045795, taxonomy code is 363LA2100X and license number is AP7637, license state is located at Arizona. Amory Godwin Caringal Grijaldo physically located at 337 E Coronado Rd, Phoenix AZ, 85004-1580. NPI Number Amory Godwin Caringal Grijaldo has the Individual type.

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1487045795 NPI number is provided on an as is basis without warranty of any kind. 1487045795 is maintained by the National Plan & Provider Enumeration System. The contents of Amory Godwin Caringal Grijaldo are for informational purposes only.