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Contact Information

SENECA A CARRILLO, MD
5102 W CAMPBELL AVE
MARYVALE HOSPITAL
PHOENIX, AZ85031
 Phone: 623-848-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SENECA A CARRILLO · (Female)

NPI Number 1336107218
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 31008
  • AZ Medicaid 783721
  • AZ Other AZ0728670 BLUE CROSS BLUE SHIELD GR
  • AZ Other 3981220 EVERCARE GRP
  • AZ Other AW1436 HEALTHNET GRP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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