Individual
RAFAEL M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
444 W OSBORN RD, SUITE 200, PHOENIX, AZ 85013-3814
(602) 230-1400
(602) 230-7676
Mailing address
444 W OSBORN RD, SUITE 200, PHOENIX, AZ 85013-3814
(602) 230-1400
(602) 230-7676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0034
NM
363AS0400X
Surgical Physician Assistant
PA20060034
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45050074
—
NM
Enumeration date
10/06/2006
Last updated
01/13/2015
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