Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDMUNDO SAMUEL JUSTINO, MD
ActiveDR. EDMUNDO SAMUEL JUSTINO, MD is a Gastroenterology healthcare provider located in PRESCOTT, Arizona. NPI 1720156136 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · PRESCOTT, AZ
Registration Details
- NPI Number
- 1720156136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.721763451683 yrs)
- Last Updated
- Sep 29, 2025
- Licenses
-
11931 (ND)60368 (AZ)
Practice Information
- Address
-
802 AINSWORTH DR STE APRESCOTT, AZ, 863011623Browse AZ providers · Browse ZIP 86301
- Phone
- 9287715548
- Fax
- 9287715549
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. LJUDEVIT ANDRES | M.D. | 1174508998 |
| DR. RICHARD PLEVA | M.D. | 1194700914 |
| DR. MILTON MURRAY SCHILD | M.D. | 1104802628 |
| DR. SHAYAN ALAM | M.D. | 1780654988 |
| DR. HECTOR IVAN RODRIGUEZ-LUNA | M.D. | 1467678557 |
| RUKSHANA N CADER | MD | 1295943660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.