Individual
ANGEL GABRIEL VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13813 W KEIM DR, LITCHFIELD PARK, AZ 85340-5343
(602) 478-4399
Mailing address
13813 W KEIM DR, LITCHFIELD PARK, AZ 85340-5343
(602) 478-4399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1186141
AZ
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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