Individual
ANGELA MARIE DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9377 E BELL RD, SUITE 361, SCOTTSDALE, AZ 85260-1502
(480) 619-4097
(480) 619-4098
Mailing address
12594 N 145TH WAY, SCOTTSDALE, AZ 85259-2129
(480) 837-2045
(480) 837-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4223
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006163-01
—
AZ
Enumeration date
07/25/2006
Last updated
03/07/2023
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