Individual
ALEX GUZMAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
616 E SOUTHERN AVE STE 103, MESA, AZ 85204-4941
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5106
AZ
363AM0700X
Medical Physician Assistant
5106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692411
—
AZ
Enumeration date
02/29/2012
Last updated
01/31/2023
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