Individual
DR. LIDA A MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2940 E. BANNER GATEWAY DR., GILBERT, AZ 85234
(480) 256-6444
(480) 256-4683
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01067429A
IN
207RH0003X
Hematology & Oncology Physician
Primary
51711
AZ
390200000X
Student in an Organized Health Care Education/Training Program
11012315
IN
Other
Enumeration date
07/03/2008
Last updated
10/14/2021
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