Individual
DR. JOSE GOMEZ CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(602) 353-6656
(602) 442-2065
Mailing address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(023) 536-6566
(602) 442-2065
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
50002
AZ
208D00000X
General Practice Physician
Primary
50002
AZ
Other
Enumeration date
08/06/2009
Last updated
03/03/2020
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