Individual
CARLOS ALFONSO VILLANUEVA DEL RIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 302, PHOENIX, AZ 85006-1464
(602) 933-5200
(602) 933-4272
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
26995
NE
2088P0231X
Pediatric Urology Physician
Primary
57907
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498524
—
AZ
Enumeration date
03/30/2007
Last updated
08/23/2019
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