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NPI Code Detail

MEDICARE: DR. ANTONIO CASINO SABAL SR. M.D.

MEDICARE: DR. ANTONIO CASINO SABAL SR. 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
1207QA0505XAdult Medicine Physician10597AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z117689OTHERAZMEDICARE PTAN

General Provider Information

NPI Number : 1851501258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTONIO CASINO SABAL SR. M.D.
Provider Business Mailing Address
First Line : 403 W CROFTON ST
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-7140
Country : US
Telephone Number : 480-892-9686
Fax Number : 480-892-9686
Provider Business Practice Location Address
First Line : 18325 N ALLIED WAY STE 105
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-3106
Country : US
Telephone Number : 480-991-3399
Fax Number : 480-719-3993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 09/29/2011

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