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Individual

ANGELA S FILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3921 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2727
(480) 615-2010
(480) 545-4158
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 615-2010
(480) 962-0523

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25036
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
476285
AZ
Enumeration date
10/25/2005
Last updated
07/09/2007
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