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Amanda Mancilla
Pediatrics Physician in Glendale, Arizona
NPI 1417452632

Amanda Mancilla is a Pediatrics Physician based in Phoenix, AZ. Amanda Mancilla practices in Glendale, AZ. The NPI Number for Amanda Mancilla is 1417452632 and holds a License No. D94210 (Arizona).

The current practice location address for Amanda Mancilla is 20325 N 51St Ave Ste 116, Glendale, AZ and can be reached out via phone at 602-933-1010 and via fax at 602-933-5395. You can also correspond with Amanda Mancilla through the mailing address at 2108 E THOMAS RD STE 130, PHOENIX, AZ - 85016-0008 (mailing address contact number: 602-933-3124).

Location: 20325 N 51St Ave Ste 116, Glendale, AZ, 85016-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417452632
Provider Name
Amanda Mancilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
20325 N 51St Ave Ste 116, Glendale, AZ, 85016-0008
Phone Number
602-933-1010
Fax Number
602-933-5395
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187918 05 AZ
institution
Provider Business Practice Location Address Details
Address
20325 N 51St Ave Ste 116
City
Glendale
State
Arizona
Zip
85308-5665
Phone Number
602-933-1010
Fax Number
602-933-5395
person
Provider Business Mailing Address Details
Address
20325 N 51St Ave Ste 116
City
Glendale
State
Arizona
Zip
85308-5665
Phone Number
602-933-1010
Fax Number
602-933-5395
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D94210 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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