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Individual

ANGELA C JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3261
(928) 425-3859
Mailing address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3261
(928) 425-3859

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A115118
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841217866
CORPORATE NPI NUMBER
CA
05
1841217866
CA
05
FHC03884F
CA
05
FHC70593F
CA
05
FHC71031F
CA
Enumeration date
04/27/2011
Last updated
08/26/2015
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