Individual
JUAN CARLOS PALLARES-SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3016 E MONTE VISTA RD, PHOENIX, AZ 85008-2834
(602) 518-0773
Mailing address
3016 E MONTE VISTA RD, PHOENIX, AZ 85008-2834
(602) 518-0773
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
232109
AZ
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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