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Individual

WALCES CASTELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5955 W PEORIA AVE, PO BOX # 5361, GLENDALE, AZ 85302-1204
(929) 267-3131
Mailing address
5955 W PEORIA AVE, PO BOX # 5361, GLENDALE, AZ 85302-1204
(929) 267-3131

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
000417-P.A.
PR
363AM0700X
Medical Physician Assistant
Primary
10288
AZ

Other

Enumeration date
10/31/2019
Last updated
05/11/2026
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