Individual
MANUELA LOREDANA ASZTALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5206 N SCOTTSDALE RD, PARADISE VALLEY, AZ 85253
(480) 771-1122
Mailing address
14275 N 87TH ST STE 110, SCOTTSDALE, AZ 85260-3696
(480) 905-8485
(480) 591-9009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125.066962
IL
207N00000X
Dermatology Physician
Primary
69468
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080550
—
WI
Enumeration date
06/23/2011
Last updated
03/03/2022
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