Individual
JAMES M VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8132
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 269-2500
(801) 269-2696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
275346-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
275346-1205
UT
Other
Enumeration date
07/20/2006
Last updated
07/01/2024
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