Individual
DR. ANGELA HERRO KOVACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18325 N ALLIED WAY, SUITE 100, PHOENIX, AZ 85054
(602) 467-4966
(480) 419-5401
Mailing address
18325 N ALLIED WAY, SUITE 100, PHOENIX, AZ 85054-3105
(602) 467-4966
(480) 419-5401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R71499
AZ
207W00000X
Ophthalmology Physician
Primary
47164
AZ
207W00000X
Ophthalmology Physician
ME115266
FL
207WX0109X
Neuro-ophthalmology Physician
47164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17888
—
AZ
Enumeration date
06/15/2009
Last updated
06/12/2018
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