Individual
DR. WALTER RIOS-CORUJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(602) 569-3999
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
075099
GA
208000000X
Pediatrics Physician
14923
PR
208000000X
Pediatrics Physician
Primary
65179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159968
—
AZ
Enumeration date
08/21/2006
Last updated
12/16/2022
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