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Individual

DR. CUAUHTEMOC GALLARDO-PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1060 E SOUTHERN AVE STE 106, MESA, AZ 85204-5058
(480) 870-7400
(480) 906-2174
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67041
AZ
208600000X
Surgery Physician
R71439
AZ
208D00000X
General Practice Physician
67041
AZ

Other

Enumeration date
12/28/2009
Last updated
05/23/2025
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