Provider Demographics
NPI:1780970343
Name:ALVIAR, ABIGAIL FRIGILLANA (DO)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FRIGILLANA
Last Name:ALVIAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 W. CHANDLER BLVD.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3342
Mailing Address - Country:US
Mailing Address - Phone:480-776-0440
Mailing Address - Fax:480-776-0444
Practice Address - Street 1:5680 W. CHANDLER BLVD.
Practice Address - Street 2:SUITE 3
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3342
Practice Address - Country:US
Practice Address - Phone:480-776-0440
Practice Address - Fax:480-776-0444
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ006383208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program