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Individual

DR. AMELIA GALLITANO-MENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 827-2130
Mailing address
425 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2131
(602) 827-2130

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2001012039
MO
2084P0800X
Psychiatry Physician
Primary
41033
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160456
MO-BLUE SHIELD
Enumeration date
07/14/2006
Last updated
04/18/2013
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