Individual
CARLOS SERRANO PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10494 W THUNDERBIRD BLVD STE 102, SUN CITY, AZ 85351-6122
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4996
AZ
363AM0700X
Medical Physician Assistant
4996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655258
—
AZ
Enumeration date
10/27/2011
Last updated
08/08/2025
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