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Dr. Edmundo Samuel Justino, MD
Gastroenterology Physician in Prescott, Arizona
NPI 1720156136

Edmundo Samuel Justino is a Gastroenterology Physician based in Prescott, AZ and is specialized in Gastroenterology. Edmundo Samuel Justino practices in Prescott, AZ and has the professional credentials of MD. The NPI Number for Edmundo Samuel Justino is 1720156136 and holds a License No. 11931 (Arizona).

The current practice location address for Edmundo Samuel Justino is 810 Ainsworth Dr Ste A, Prescott, AZ and can be reached out via phone at 928-771-5548 and via fax at 928-771-5549.

Location: 810 Ainsworth Dr Ste A, Prescott, AZ, 86304-0880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720156136
Provider Name
Edmundo Samuel Justino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
810 Ainsworth Dr Ste A, Prescott, AZ, 86304-0880
Phone Number
928-771-5548
Fax Number
928-771-5549
Provider Enumeration Date
12/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215032801 05 TX
007145 05 AZ
60368 01 AZ MEDICAL LICENSE
TXB107550 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
810 Ainsworth Dr Ste A
City
Prescott
State
Arizona
Zip
86301-1612
Phone Number
928-771-5548
Fax Number
928-771-5549
person
Provider Business Mailing Address Details
Address
810 Ainsworth Dr Ste A
City
Prescott
State
Arizona
Zip
86301-1612
Phone Number
928-771-5548
Fax Number
928-771-5549
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
11931 (North Dakota)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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