Organization
LAS FUENTES HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WARD MOLINA M.D. (CEO)
(480) 777-2263
Entity
Organization
Contact information
Practice address
8625 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2504
(480) 777-2263
(480) 777-2264
Mailing address
8625 S AVENIDA DEL YAQUI, GUADALUPE, AZ 85283-2504
(480) 777-2263
(480) 777-2264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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