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Organization

ARIZONA STATE INTERNAL MEDICINE ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LETICIA GANGAN JACINTO MD (PRESIDENT)
(602) 361-8099
Entity
Organization

Contact information

Practice address
17100 N 67TH AVE, SUITE 401, GLENDALE, AZ 85308-3605
(602) 795-8698
(602) 795-8699
Mailing address
17100 N 67TH AVE, SUITE 401, GLENDALE, AZ 85308-3605
(602) 795-8698
(602) 795-8699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29006
AZ

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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