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Individual

LUIS A GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD-PHD

Contact information

Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5933
Mailing address
PO BOX 64252, BALTIMORE, MD 21264-4252
(410) 955-5933

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D69136
MD
207N00000X
Dermatology Physician
MD426253
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013625900001
PA
05
417361900
MD
Enumeration date
07/14/2006
Last updated
02/06/2013
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