Individual
DR. CARLOS X VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 TUNNEL RD, SUITE 205, POTTSVILLE, PA 17901-3875
(570) 622-1400
(570) 622-8900
Mailing address
48 TUNNEL RD, SUITE 205, POTTSVILLE, PA 17901-3875
(570) 622-1400
(570) 622-8900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD039215L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001074330
—
PA
Enumeration date
02/10/2006
Last updated
09/02/2009
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