Organization
ESTRELLA PKWY MEDICAL CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRION DAVID MUSCARELLA (PRESIDENT)
(623) 932-9211
Entity
Organization
Contact information
Practice address
530 N ESTRELLA PKWY, STE. C-1, GOODYEAR, AZ 85338-4137
(623) 932-9211
(623) 932-9210
Mailing address
530 N ESTRELLA PKWY, STE. C-1, GOODYEAR, AZ 85338-4137
(623) 932-9211
(623) 932-9210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7681
AZ
363AM0700X
Medical Physician Assistant
Primary
3789
AZ
363L00000X
Nurse Practitioner
AP3364
AZ
Other
Enumeration date
05/18/2006
Last updated
04/12/2017
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