Individual
SEAN BENEDICT D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9192 W UNION HILLS DR, PEORIA, AZ 85382-8208
(602) 374-4101
(602) 441-0522
Mailing address
9192 W UNION HILLS DR, PEORIA, AZ 85382-8208
(602) 374-4101
(602) 441-0522
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40387
AZ
2086S0129X
Vascular Surgery Physician
49960
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423119
—
AZ
Enumeration date
07/03/2007
Last updated
09/12/2014
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