EDGAR AMAVIZCA

PHOENIX, AZ
NPI1760178081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
EDGAR AMAVIZCA MD
350 W THOMAS RD
PHOENIX, AZ 85013-4496
Phone number: 602-406-3000
Mailing Address
EDGAR AMAVIZCA MD
3100 N CENTRAL AVE # 711D
PHOENIX, AZ 85012-2637
Phone number: