MEDICARE: DR. KARA VILLAREAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	27026	AZ

General Provider Information

NPI Number	:	1104826114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARA VILLAREAL M.D.

Provider Business Mailing Address
First Line	:	3815 E BELL RD
Second Line	:	SUITE 2200
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2122
Country	:	US
Telephone Number	:	602-995-0822
Fax Number	:	602-995-0825

Provider Business Practice Location Address
First Line	:	3815 E BELL RD
Second Line	:	SUITE 2200
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2122
Country	:	US
Telephone Number	:	602-995-0822
Fax Number	:	602-995-0825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	01/06/2014

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