Individual
AILEEN F VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 N 32ND ST, STE 280, PHOENIX, AZ 85018-3978
(602) 266-6888
(602) 266-6895
Mailing address
4400 N 32ND ST, STE 280, PHOENIX, AZ 85018-3978
(602) 266-6888
(602) 266-6895
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23036
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496639-02
—
AZ
01
—
AZ0378590
BCBS
—
Enumeration date
09/20/2005
Last updated
07/08/2007
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