Individual
MARYLU REYES MACABUHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6120 W BELL RD, SUITE 160, GLENDALE, AZ 85308-3781
(602) 978-5727
(602) 978-9186
Mailing address
6120 W BELL RD, SUITE 160, GLENDALE, AZ 85308-3781
(602) 978-5727
(602) 978-9186
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
11047
AZ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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