Individual
JOHN W DESALVO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 W EUGIE AVE, STE 100, GLENDALE, AZ 85304-1255
(602) 978-1500
(602) 978-0409
Mailing address
5601 W EUGIE AVE, STE 100, GLENDALE, AZ 85304-1255
(602) 978-1500
(602) 978-0409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137283
—
AZ
Enumeration date
10/24/2005
Last updated
07/09/2007
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