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Individual

DR. ALFONSO JULIUS CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25000064
OH
2085R0202X
Diagnostic Radiology Physician
Primary
G77083
CA
2085U0001X
Diagnostic Ultrasound Physician
25000064
OH
2085U0001X
Diagnostic Ultrasound Physician
G77083
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000500781
ANTHEM
OH
05
00G770830
CA
05
2694660
OH
01
P00383076
RR MEDICARE
OH
Enumeration date
03/22/2006
Last updated
03/21/2012
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