Individual
JAVIER FORTUNATO CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 W THOMAS RD, SUITE 304, PHOENIX, AZ 85013-4419
(602) 406-4323
Mailing address
222 W THOMAS RD #304, PHOENIX, AZ 85013
(602) 406-4323
(602) 406-3810
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
81042
AZ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
36579
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259914
—
AZ
Enumeration date
09/12/2007
Last updated
08/03/2020
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