Individual
DR. CARLOS ARTURO MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34975 N NORTH VALLEY PKWY STE 100, PHOENIX, AZ 85086-4029
(623) 295-4820
(623) 295-4830
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(623) 683-4462
(623) 683-4963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
66877
AZ
207Q00000X
Family Medicine Physician
Primary
66877
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
03/19/2025
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