Individual
DR. AUBREY M PALESTRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-5720
Mailing address
10835 N 25TH AVE, STE 240, PHOENIX, AZ 85029-3458
(603) 294-3920
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13416
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
13416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7086
HEALTH NET OF AZ
AZ
05
—
256299
—
AZ
01
—
300124482
RR MEDICARE
AZ
01
—
AZ0221810
BCBSAZ
—
Enumeration date
02/03/2006
Last updated
08/10/2017
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