Organization
MARICOPA PULMONARY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSELMO GARCIA M.D. (OWNER)
(480) 867-7223
Entity
Organization
Contact information
Practice address
9250 N 3RD ST STE 2035, PHOENIX, AZ 85020-2437
(480) 867-7223
(602) 674-6253
Mailing address
111 E DUNLAP AVE STE 1-273, PHOENIX, AZ 85020-7801
(480) 867-7223
(602) 674-6253
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422742
—
AZ
Enumeration date
05/11/2017
Last updated
11/12/2020
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