Individual
DR. KRISTINE SELLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306
(602) 298-7777
(623) 930-6060
Mailing address
P.O. BOX 52886, PHOENIX, AZ 85072
(602) 298-7777
(623) 930-6060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29043
AZ
207RI0011X
Interventional Cardiology Physician
Primary
29043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972803
—
AZ
Enumeration date
10/21/2005
Last updated
08/20/2019
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