Individual
JON R HILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, STE 310, PEORIA, AZ 85381-4846
(623) 876-3910
(623) 876-6953
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 876-6953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227183
—
AZ
Enumeration date
06/07/2006
Last updated
05/16/2012
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