Organization
MICHAEL A CASTILLO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CASTILLO (PRACTICE MANAGER)
(602) 242-9891
Entity
Organization
Contact information
Practice address
11851 N 51ST AVE STE D120, GLENDALE, AZ 85304-2839
(602) 242-9891
(602) 242-9895
Mailing address
11851 N 51ST AVE STE D120, GLENDALE, AZ 85304-2839
(602) 680-8002
(602) 242-9895
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
27636
AZ
208VP0000X
Pain Medicine Physician
Primary
27636
AZ
208VP0014X
Interventional Pain Medicine Physician
27636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517419
—
AZ
01
—
6669
MEDICARE ID
—
Enumeration date
11/20/2007
Last updated
10/27/2025
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