Individual
RAYETTE POLLARD CASIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6611 W PEORIA AVE, GLENDALE, AZ 85302-7000
(602) 325-5580
Mailing address
6611 W PEORIA AVE, GLENDALE, AZ 85302-7000
(602) 325-5580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59898
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599671
—
AK
05
—
89130CC
—
NC
Enumeration date
10/20/2006
Last updated
04/09/2020
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