Organization
MESA VERDE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMANDO GONZALEZ M.D. (PRESIDENT)
(520) 624-2194
Entity
Organization
Contact information
Practice address
395 N SILVERBELL RD, SUITE #265, TUCSON, AZ 85745-2675
(520) 624-2194
(520) 624-2193
Mailing address
PO BOX 43160, TUCSON, AZ 85733-3160
(520) 624-2194
(520) 624-2193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
24499
AZ
Other
Enumeration date
06/15/2007
Last updated
10/14/2020
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