Individual
MRS. CRISTINE AZEVEDO LISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18714
HI
208M00000X
Hospitalist Physician
Primary
18108
NV
Other
Enumeration date
10/19/2011
Last updated
03/05/2019
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