Individual
DR. MACELLE L NEUWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6780 W THUNDERBIRD RD # A101, PEORIA, AZ 85381-5049
(602) 843-1991
(602) 843-3224
Mailing address
5757 W THUNDERBIRD RD, E 255, GLENDALE, AZ 85306-4641
(602) 843-1991
(602) 843-3224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951170
—
AZ
Enumeration date
09/15/2005
Last updated
01/06/2021
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