Individual
PATRICIA LOWE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
20750 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-5882
(152) 023-3246
Mailing address
20750 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-5882
(520) 233-2465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z180063
PTAN
AZ
Enumeration date
07/01/2008
Last updated
07/21/2022
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