NPI 1003211889

Eric Tomas Ovalle, PAC

Practitioner Physician Assistant Avondale, AZ

Practice location

Address: 3125 N Dysart Rd, Avondale, AZ 85392-1208
Phone: (602) 726-8788
Fax: (480) 420-0732

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5858 (AZ)

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Registry record

NPI: 1003211889
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2014
Record last updated: 14 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.