Mark Villanueva M.D.

NPI 1609024850 - Internal Medicine - 207R00000X

NPI Details
NPI 1609024850
Gender Male
Enumeration Date 08/29/2008
Last Updated 07/07/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
PHOENIX AZ, 85006-2612, US
Phone (602) 000-0000
Business Location
PO BOX 52680
PHOENIX AZ, 85072-2680, US
Phone (602) 000-0000
Taxonomy Code 207R00000X
License State Illinois
License Number 125.053417
Remove 1609024850 NPI Number

According to our database, Mark Villanueva M.D. NPI is 1609024850, taxonomy code is 207R00000X and license number is 125.053417, license state is located at Illinois. Mark Villanueva M.D. physically located at 1111 E Mcdowell Rd, Phoenix AZ, 85006-2612. NPI Number Mark Villanueva M.D. has the Individual type.

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1609024850 NPI number is provided on an as is basis without warranty of any kind. 1609024850 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Villanueva M.D. are for informational purposes only.