Individual
DR. MARIA MANUELA GONZALEZ-LANDESTOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2715 N ALMA SCHOOL RD, SUITE A-104, CHANDLER, AZ 85224
(480) 275-4415
(480) 275-4577
Mailing address
PO BOX 1205, GILBERT, AZ 85299-1205
(480) 275-4415
(480) 275-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29719
AZ
207R00000X
Internal Medicine Physician
Primary
29719
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0744170
BCBS
AZ
Enumeration date
12/04/2006
Last updated
05/05/2017
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