Individual
ERICK CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2703 S RINCON DR, CHANDLER, AZ 85286-5662
(312) 282-7430
(312) 561-6551
Mailing address
PO BOX 546, CHANDLER, AZ 85244-0546
(312) 282-7430
(312) 561-6551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
655393
AZ
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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