Rios-Corujo, Walter

Rios-Corujo, Walter is an individual health care provider with primary practice located at 7734 N 59Th Ave , Glendale AZ 85301-7816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rios-Corujo, Walter can be contacted via phone (602) 569-3999.

Contact Information

Primary practice address
7734 N 59Th Ave Glendale AZ 85301-7816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 075099 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14923 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65179 Arizona

Profile Details

NPI number 1801902143
LBN Legal business name Rios-Corujo, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 16th, 2022 - about 4 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 1801902143 NPPES
Arizona MEDICAID 159968

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