Individual
DR. NATALISSE WAHLSTROM-DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S WATSON RD STE C104, BUCKEYE, AZ 85326-8689
(623) 025-1755
Mailing address
1500 S WATSON RD STE C104, BUCKEYE, AZ 85326-8689
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23143
PR
208D00000X
General Practice Physician
Primary
74447
AZ
Other
Enumeration date
03/27/2023
Last updated
03/25/2025
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