Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgar Amavizca, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760178081

Edgar Amavizca, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 W Thomas Rd
Phoenix, AZ 85013-4496
Phone: (602) 406-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760178081
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address3100 N Central Ave # 711d, Phoenix, AZ 85012-2637

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