Individual
ERIC TOMAS OVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3125 N DYSART RD, AVONDALE, AZ 85392-1208
(602) 726-8788
(480) 420-0732
Mailing address
3125 N DYSART RD, AVONDALE, AZ 85392-1208
(602) 726-8788
(480) 420-0732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5858
AZ
Other
Enumeration date
10/23/2014
Last updated
11/14/2018
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