Doctor Name: | PAMELA GLASINOVIC VILLAR |
NPI Number: | 1578562005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 32524 |
Business Practice Address: | 1856 E Innovation Park Dr Oro Valley, AZ - 857551963 |
Business Phone Number: | 5208257111 |
Business Fax Number: | 5208181253 |
Mailing Address: | 1856 E Innovation Park Dr, ORO VALLEY |
State: | AZ |
Postal Code: | 857551963 |
Phone Number: | 5208257111 |
Fax Number: | 5208181253 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |