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Individual

MARIA ABAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1856 E FLORENCE BLVD, CASA GRANDE, AZ 85122
(520) 381-0380
(520) 836-1826
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38011
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-1881
MEDICARE
01
03-31815
MEDICARE
05
362202
AZ
01
38011
LICENSE
AZ
01
Z126207
MEDICARE
01
Z137212
MEDICARE
01
ZFQ31815
MEDICARE
Enumeration date
01/05/2006
Last updated
05/17/2018
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