Healthcare Provider Details

I. General information

NPI: 1982533816
Provider Name (Legal Business Name): LAMBERTO CASTILLO JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 S PONDEROSA ST
PAYSON AZ
85541-5542
US

IV. Provider business mailing address

1300 S COUNTRY CLUB DR STE 3
MESA AZ
85210-5162
US

V. Phone/Fax

Practice location:
  • Phone: 928-471-3222
  • Fax:
Mailing address:
  • Phone: 480-827-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: