Individual
ADOLBEN Y MONTESCLAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5224 W DOVE CENTRE RD, MARANA, AZ 85658
(520) 616-1445
(520) 616-1446
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD17681
AZ
207Q00000X
Family Medicine Physician
Primary
17681
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836249
—
AZ
Enumeration date
06/15/2006
Last updated
06/18/2018
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