Organization
MINIMALLY INVASIVE SURGICAL CONSULTANTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER VILLARES MD (MANAGER)
(602) 257-0300
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, #616, PHOENIX, AZ 85006-2848
(602) 257-0300
(602) 257-0301
Mailing address
1300 N 12TH ST, #616, PHOENIX, AZ 85006-2848
(602) 257-0300
(602) 257-0301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32704
AZ
Other
Enumeration date
02/21/2006
Last updated
01/23/2008
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