Organization
CLINICAS DEL DR. CAZARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI A SAMANIEGO (GENERALA MANAGER)
(623) 939-1411
Entity
Organization
Contact information
Practice address
6717 N 59TH AVE, GLENDALE, AZ 85301-3205
(623) 939-1411
(623) 939-1465
Mailing address
6717 N 59TH AVE, GLENDALE, AZ 85301-3205
(623) 939-1411
(623) 939-1465
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213546
—
AZ
Enumeration date
01/09/2012
Last updated
02/21/2012
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