Individual provider · Type 1 NPI

Edmundo Samuel Justino, MD

Gastroenterology Physician · Prescott, AZ

NPI number 1720156136 Active

Practice location

802 Ainsworth Dr Ste A
Prescott, AZ 86301-1623

Call (928) 771-5548 Map

Fax (928) 771-5549

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician 207RG0100X11931 (ND)
Gastroenterology Physician Primary 207RG0100X60368 (AZ)

Gastroenterology Physician: 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.

8 other providers at this address

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About NPI 1720156136

Edmundo Samuel Justino, MD's National Provider Identifier is 1720156136, issued on Dec 1, 2006. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Prescott, AZ. The record was last updated on Sep 29, 2025.