# ISMAEL GUERRERO MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407929920
- **Authorized official:** ISMAEL INCLAN GUERRERO MD (OWNER)
- **Authorized official phone:** (928) 344-5951

## Contact information

- **Practice address:** 1965 WEST 24TH STREET, STE A, YUMA, AZ 85364
- **Practice address phone:** (928) 344-5951
- **Practice address fax:** (928) 344-5779
- **Mailing address:** 1965 WEST 24TH STREET, STE A, YUMA, AZ 85364
- **Mailing address phone:** (928) 344-5951
- **Mailing address fax:** (928) 344-5779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21545 | AZ | Yes |
| 363A00000X | Physician Assistant | 1458 | AZ | — |
| 363A00000X | Physician Assistant | 2125 | AZ | — |
| 363A00000X | Physician Assistant | 2891 | AZ | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139841 | — | AZ |
| 05 | — | 502098 | — | AZ |