Individual
DR. ERNESTINE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 W FRYE RD, CHANDLER, AZ 85224-6255
(480) 895-9555
(480) 961-2332
Mailing address
1950 W FRYE RD, CHANDLER, AZ 85224-6255
(480) 895-9555
(480) 895-9494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716996
—
AZ
Enumeration date
11/16/2005
Last updated
03/07/2023
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