Individual
ELA M TIMBADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 W BELL RD STE 100A, PHOENIX, AZ 85053-3000
(602) 252-2002
(602) 843-8906
Mailing address
PO BOX 9278, PHOENIX, AZ 85068-9278
(602) 252-2002
(602) 843-8906
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16679
AZ
2086S0129X
Vascular Surgery Physician
16679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262923
—
AZ
Enumeration date
10/01/2006
Last updated
03/03/2021
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