Individual
MR. ROBERT DE VILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
81 W GUADALUPE RD STE 111, GILBERT, AZ 85233-3321
(480) 366-4489
Mailing address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7020
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/17/2017
Last updated
05/07/2020
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