Provider Demographics
NPI:1558044057
Name:DE OLIVEIRA MANDUCA PALMIERO, HELBERT (MD PHD)
Entity Type:Individual
Prefix:
First Name:HELBERT
Middle Name:
Last Name:DE OLIVEIRA MANDUCA PALMIERO
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 E WATER ST APT C212
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-3453
Mailing Address - Country:US
Mailing Address - Phone:520-599-9700
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE RM 4303
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-0704
Practice Address - Fax:520-626-8313
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR805543207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery