Individual
DR. CARLOS MENDOZA CAZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6717 N 59TH AVE, GLENDALE, AZ 85301-3205
(623) 939-1411
(623) 939-1465
Mailing address
6717 N 59TH AVE, GLENDALE, AZ 85301-3205
(623) 939-1411
(623) 939-1465
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213546
—
AZ
01
—
Z153225
PTAN
AZ
Enumeration date
04/26/2006
Last updated
09/27/2012
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