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Individual

CHARLES E CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 340-0201
(602) 340-0367
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20548
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107971
AZ
Enumeration date
07/19/2006
Last updated
08/05/2015
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