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NPI Code Detail

MEDICARE: DR. CHRISTINE B VILLARINO MD

MEDICARE: DR. CHRISTINE B VILLARINO MD
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
1207RC0000XCardiovascular Disease Physician22358AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0827240OTHERAZBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114991007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE B VILLARINO MD
Provider Business Mailing Address
First Line : 500 N. INDIANA AVE
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2169
Country : US
Telephone Number : 928-289-4646
Fax Number : 928-289-6290
Provider Business Practice Location Address
First Line : 500 N. INDIANA AVE
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2169
Country : US
Telephone Number : 928-289-4646
Fax Number : 928-289-6290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/19/2011

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Directions to “ DR. CHRISTINE B VILLARINO MD” Practice Location

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