Individual
JAVIER GERMAN PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(623) 398-4406
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
000829-P.A.
PR
363A00000X
Physician Assistant
Primary
9114
AZ
Other
Enumeration date
09/10/2021
Last updated
06/08/2023
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