Individual
LILLIAM VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5030 W MCDOWELL RD STE 16, PHOENIX, AZ 85035-3947
(602) 278-1414
(602) 269-8410
Mailing address
3003 N CENTRAL AVE STE 305, PHOENIX, AZ 85012-2904
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32040
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894247
—
AZ
Enumeration date
12/05/2006
Last updated
12/07/2016
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