Individual
DR. RICARDO G. CELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1533 E WILLETTA ST, PHOENIX, AZ 85006
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616245
—
AZ
01
—
AZ0894980
BLUE CROSS/BLUE SHIELD PI
AZ
Enumeration date
12/01/2005
Last updated
08/23/2019
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