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Individual

DAVID CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP-BC

Contact information

Practice address
13634 N 93RD AVE, 300, PEORIA, AZ 85381-4914
(623) 815-2484
(623) 815-2483
Mailing address
21570 E ORION WAY, QUEEN CREEK, AZ 85142-6421

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4466
AZ

Other

Enumeration date
04/25/2012
Last updated
03/26/2013
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