Individual
DR. RAMON SABASTIAN MOURELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1281 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2949
(520) 876-0416
(520) 421-3474
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AZ 35546
AZ
208600000X
Surgery Physician
Primary
35546
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115874
—
AZ
01
—
35546
ARIZONA MEDICAL BOARD
AZ
01
—
5058816
CIGNA
AZ
01
—
P01342438
RR MEDICARE
FL
Enumeration date
06/27/2006
Last updated
03/07/2023
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