Individual
JOSE LUIS GUZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1325 N FIESTA BLVD, SUITE 3, GILBERT, AZ 85233-1609
(480) 545-2610
(480) 545-2673
Mailing address
PO BOX 1062, CHANDLER, AZ 85244-1062
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0146580
BCBS
AZ
Enumeration date
04/08/2006
Last updated
07/08/2007
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