Organization
ARIZONA MEDICOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DD SANDE (CREDENTIALING SPECIALIST)
(520) 409-3445
Entity
Organization
Contact information
Practice address
120 W CALLE DE LAS TIENDAS, GREEN VALLEY, AZ 85614-4326
(866) 862-6414
(866) 851-4817
Mailing address
120 W CALLE DE LAS TIENDAS, GREEN VALLEY, AZ 85614-4326
(866) 862-6414
(866) 851-4817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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