# DR. GLORIA E. GARCIA-MARISCAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417989591
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25592 | AZ | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000171608 | MEDICARECOMPLETE PROVIDER | AZ |
| 01 | — | 003468 | RURAL ARIZONA NETWORK | AZ |
| 01 | — | 01-01097 | UNITEDHEALTHCARE OF ARIZO | AZ |
| 01 | — | 25592 | MEDICAL LICENCE NUMBER | AZ |
| 01 | — | 285678 | MERCY CARE PLAN | AZ |
| 05 | — | 285678 | — | AZ |
| 01 | — | 285678-004 | ARIZONA PHYSICIANS IPA | AZ |
| 01 | — | 2856780 | CMDP NUMMBER | AZ |
| 01 | — | 3343816 | CIGNA HEALTHCARE OF AZ IN | AZ |
| 01 | — | 86-0906731 | TAX ID. NO. | AZ |
| 01 | — | AZ0824870 | BC/BS OF AZ | AZ |
| 01 | — | AZ9999 | MUTUAL OF OMAHA | AZ |
| 01 | — | B1013244 | ADMINISTRATIVE ENTERPRISE | AZ |