Organization
ISMAEL GUERRERO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL INCLAN GUERRERO MD (OWNER)
(928) 344-5951
Entity
Organization
Contact information
Practice address
1965 WEST 24TH STREET, STE A, YUMA, AZ 85364
(928) 344-5951
(928) 344-5779
Mailing address
1965 WEST 24TH STREET, STE A, YUMA, AZ 85364
(928) 344-5951
(928) 344-5779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21545
AZ
363A00000X
Physician Assistant
1458
AZ
363A00000X
Physician Assistant
2125
AZ
363A00000X
Physician Assistant
2891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139841
—
AZ
05
—
502098
—
AZ
Enumeration date
11/15/2006
Last updated
03/06/2013
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