Individual
DR. AGUSTIN PERALTA HERBER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5969
(602) 521-5987
Mailing address
11369 W FOLSOM POINT DR, MARANA, AZ 85658-4935
(520) 870-8574
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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