Individual
ELIZABETH KATHLEEN FOX-MTANDIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140-7352
(480) 394-4469
Mailing address
4760 E BASELINE RD APT 2025, MESA, AZ 85206-4688
(602) 359-7866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009452
AZ
Other
Enumeration date
03/30/2019
Last updated
02/20/2023
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