Individual
SEAN BRANDON GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
580 N CAMINO MERCADO STE 8, CASA GRANDE, AZ 85122-5757
(520) 381-0380
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9458
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9458
ARIZONA LICENSE
AZ
Enumeration date
09/27/2021
Last updated
11/07/2022
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