Individual
DR. JOSE L. MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 W MAIN ST, SOMERTON, AZ 85350-6329
(928) 627-1120
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069725
—
AZ
01
—
105270
MEDICARE PTAN
AZ
Enumeration date
12/08/2005
Last updated
08/13/2024
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