Individual
MRS. DEBORA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4045 E BELL RD, SUITE 105, PHOENIX, AZ 85032-2236
(602) 923-6666
(602) 923-7676
Mailing address
11000 N SCOTTSDALE RD, STE 120, SCOTTSDALE, AZ 85254-6130
(480) 455-3000
(866) 819-6115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AZ15289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z3957
HEALTHNET
AZ
01
—
AZ0730250
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/17/2006
Last updated
10/22/2014
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