Organization
CENTRO MEDICO DE DIABETES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO CELAYA MD (PRESIDENT)
(602) 493-0023
Entity
Organization
Contact information
Practice address
13402 N 32ND ST, SUITE #3, PHOENIX, AZ 85032-6047
(602) 493-0023
Mailing address
13402 N 32ND ST, SUITE #3, PHOENIX, AZ 85032-6047
(602) 493-0023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616245
—
AZ
Enumeration date
03/10/2008
Last updated
03/10/2008
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