Individual
LUIS E GARCIA RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 E BASELINE RD STE D104, TEMPE, AZ 85283-1291
(480) 718-0568
Mailing address
PO BOX 17779, PHOENIX, AZ 85011-0779
(480) 718-0568
(480) 307-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2018
Last updated
11/21/2019
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