Individual
DR. GLORIA E. GARCIA-MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1535 E 10TH ST, DOUGLAS, AZ 85607-2309
(520) 805-0650
Mailing address
1535 E 10TH ST, DOUGLAS, AZ 85607-2309
(520) 805-0650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000171608
MEDICARECOMPLETE PROVIDER
AZ
01
—
003468
RURAL ARIZONA NETWORK
AZ
01
—
01-01097
UNITEDHEALTHCARE OF ARIZO
AZ
01
—
25592
MEDICAL LICENCE NUMBER
AZ
01
—
285678
MERCY CARE PLAN
AZ
05
—
285678
—
AZ
01
—
285678-004
ARIZONA PHYSICIANS IPA
AZ
01
—
2856780
CMDP NUMMBER
AZ
01
—
3343816
CIGNA HEALTHCARE OF AZ IN
AZ
01
—
86-0906731
TAX ID. NO.
AZ
01
—
AZ0824870
BC/BS OF AZ
AZ
01
—
AZ9999
MUTUAL OF OMAHA
AZ
01
—
B1013244
ADMINISTRATIVE ENTERPRISE
AZ
Enumeration date
07/07/2006
Last updated
03/07/2023
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