Individual
DR. DENISE DEALVA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 S STAPLEY DR, MESA, AZ 85204-5013
(480) 833-9100
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-9533
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
41599
AZ
207W00000X
Ophthalmology Physician
4301074482
MI
207W00000X
Ophthalmology Physician
MD00047134
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
41599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H262240
BLUE CROSS-BLUE CROSS
—
05
—
412888
—
AZ
01
—
41599
ARIZONA MEDICAL BOARD
AZ
05
—
454998310
—
MI
05
—
8476194
—
WA
01
—
8864687
UWP MEDICARE
WA
01
—
8864816
HARBORVIEW MEDICARE
WA
01
—
DG074482
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/08/2006
Last updated
05/01/2016
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