Individual
WALTER HONORIO MIGOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9171 W THUNDERBIRD RD, SUITE 101, PEORIA, AZ 85381
(623) 815-7800
(623) 815-7900
Mailing address
9145 W THUNDERBIRD RD, SUITE 101, PEORIA, AZ 85381-4820
(623) 815-7800
(623) 815-7900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35416
AZ
207RP1001X
Pulmonary Disease Physician
Primary
35416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127572
—
AZ
Enumeration date
07/30/2006
Last updated
03/06/2012
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