Misty Villar, | |
1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
(480) 412-4100 | |
Not Available |
Full Name | Misty Villar |
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Gender | Female |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 1400 S Dobson Rd, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831742618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 229681 (Arizona) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | Banner Physician Super Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
Entity Name | Banner - University Super Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740650555 PECOS PAC ID: 1850695255 Enrollment ID: O20160204002443 |
Mailing Address | Practice Location Address |
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Misty Villar, 5525 W Coles Rd, Laveen, AZ 85339-5254 Ph: (602) 318-0145 | Misty Villar, 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 412-4100 |
Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
Naresh Reddivalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202 Phone: 480-412-4100 | |
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 | |
Dr. Leno Mammen Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202 Phone: 480-412-6430 |