Individual
EUNICE CARBARDO SEVILLA-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-0800
(602) 476-0801
Mailing address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-0800
(602) 476-0801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A41815
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
41509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A418150
—
CA
05
—
597575
—
AZ
Enumeration date
03/22/2006
Last updated
05/21/2012
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