Individual
HILARIO JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 N 24TH ST STE 100, PHOENIX, AZ 85008-4617
(602) 252-1510
Mailing address
10810 N TATUM BLVD STE 102306, PHOENIX, AZ 85028-0503
(602) 252-1510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12148
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238726
AHCCCS
AZ
01
—
64148
PTAN
AZ
Enumeration date
03/24/2006
Last updated
07/23/2020
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