Organization
CLINICA MEDICA DEL SOL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M GUTIERREZ M.D. (OWNER)
(602) 513-3616
Entity
Organization
Contact information
Practice address
8022 N 27TH AVE, PHOENIX, AZ 85051-6302
(602) 513-3616
(480) 657-9265
Mailing address
PO BOX 55015, PHOENIX, AZ 85078-5015
(602) 513-3616
(480) 657-9265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32998
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871089
—
AZ
Enumeration date
01/31/2007
Last updated
08/22/2020
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