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NELSON VILLAMOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7600 N 16TH ST, SUITE 150, PHOENIX, AZ 85020-4431
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12117
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238304
AZ
01
AZ0029890
BCBS
AZ
Enumeration date
01/27/2006
Last updated
08/13/2010
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