Individual
MR. DAVID SCOTT VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6501 E GREENWAY PARKWAY, SUITE 103-433, SCOTTSDALE, AZ 85254-2065
(480) 347-0844
(480) 347-0885
Mailing address
6501 E GREENWAY PARKWAY, SUITE 103-433, SCOTTSDALE, AZ 85254-2065
(480) 347-0844
(480) 347-0885
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791493
—
AZ
01
—
P00060749
RAILROAD MEDICARE
AZ
Enumeration date
09/12/2005
Last updated
05/04/2015
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