Individual
MARY CARMEN GARCIA-KUMIROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621
(520) 281-1550
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2133
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55088
AZ
207Q00000X
Family Medicine Physician
R74899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330385
—
AZ
Enumeration date
04/20/2015
Last updated
11/12/2024
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