Healthcare Provider Details

I. General information

NPI: 1982010765
Provider Name (Legal Business Name): ASHLEY NAVARRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 E GUADALUPE RD STE 115
GILBERT AZ
85234-5114
US

IV. Provider business mailing address

6301 S MCCLINTOCK DR SUITE 101
TEMPE AZ
85283-0001
US

V. Phone/Fax

Practice location:
  • Phone: 480-632-1544
  • Fax: 480-632-1533
Mailing address:
  • Phone: 480-214-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR74482
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: