Provider Demographics
NPI:1811934441
Name:CASTRO, MARIA D (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9520 W PALM LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-4403
Mailing Address - Country:US
Mailing Address - Phone:877-809-5092
Mailing Address - Fax:623-815-9253
Practice Address - Street 1:1705 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6920
Practice Address - Country:US
Practice Address - Phone:877-809-5092
Practice Address - Fax:480-491-6239
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2013-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ33282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine