Individual
OCTAVIO M. MUJICA RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(602) 353-6656
Mailing address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(602) 353-6656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
07/14/2023
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