Individual
ASELA R SAN FELIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5422 W THUNDERBIRD RD, SUITE #5, GLENDALE, AZ 85306-4700
(602) 843-1480
(602) 843-0168
Mailing address
5422 W THUNDERBIRD RD, SUITE #5, GLENDALE, AZ 85306-4700
(602) 843-1480
(602) 843-0168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249195
AHCCCS
AZ
Enumeration date
08/02/2006
Last updated
07/08/2007
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