Individual
DR. ALYSSA PABELLE DIPALAC VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21212 E OCOTILLO RD, QUEEN CREEK, AZ 85142-9667
(602) 755-0800
(480) 571-7973
Mailing address
21212 E OCOTILLO RD, QUEEN CREEK, AZ 85142-9667
(602) 755-0800
(480) 571-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007363
AZ
207Q00000X
Family Medicine Physician
R2590
AZ
Other
Enumeration date
06/24/2015
Last updated
12/02/2022
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