Individual
MR. GREGORIO MERCADO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18622 W COLTER ST, LITCHFIELD PARK, AZ 85340-7503
(845) 594-4997
Mailing address
18622 W COLTER ST, LITCHFIELD PARK, AZ 85340-7503
(845) 594-4997
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
013319
AZ
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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