Palestrant, Aubrey M

Palestrant, Aubrey M is an individual health care provider with primary practice located at 19829 N 27Th Ave , Phoenix AZ 85027-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Palestrant, Aubrey M can be contacted via phone (623) 879-5720.

Contact Information

Primary practice address
19829 N 27Th Ave Phoenix AZ 85027-4001
Phone: (623) 879-5720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13416 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 13416 Arizona

Profile Details

NPI number 1174595110
LBN Legal business name Palestrant, Aubrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Aug 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174595110 NPPES
Arizona Other 300124482 RR MEDICARE
Arizona MEDICAID 256299 RR MEDICARE
Arizona Other AZ0221810 RR MEDICARE
Arizona Other 1Z7086 RR MEDICARE

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