Individual
DR. VIVIAN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2055 W HOSPITAL DR, STE 195, TUCSON, AZ 85704-7892
(520) 297-1595
(520) 572-2301
Mailing address
2055 W HOSPITAL DR, STE 195, TUCSON, AZ 85704-7892
(520) 297-1595
(520) 572-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34689
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089359
—
AZ
01
—
34689
STATE LICENSE
AZ
Enumeration date
05/30/2006
Last updated
12/03/2012
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