MEDICARE: CHRISTINA BUGLIARELLO

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	363A00000X	Physician Assistant	10678	AZ

General Provider Information

NPI Number	:	1205603297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BUGLIARELLO

Provider Business Mailing Address
First Line	:	560 N CAMINO MERCADO STE 7
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-5759
Country	:	US
Telephone Number	:	520-836-5538
Fax Number	:	844-722-0049

Provider Business Practice Location Address
First Line	:	560 N CAMINO MERCADO STE 7
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-5759
Country	:	US
Telephone Number	:	520-836-5538
Fax Number	:	844-722-0049

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

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	05/27/2026

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Directions to “ CHRISTINA BUGLIARELLO ” Practice Location

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