Individual
JOEL FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7725 N 43RD AVE STE 510, PHOENIX, AZ 85051-5771
(877) 809-5092
(602) 843-1560
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3573
AZ
Other
Enumeration date
04/19/2007
Last updated
04/10/2019
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