Individual
FERNANDO C. GALAVIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1206 E BROADWAY RD, MESA, AZ 85204-2214
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9402
AZ
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161154
—
AZ
Enumeration date
10/13/2022
Last updated
10/31/2025
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