Individual
MIGUEL MARTINEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5220 N 43RD AVE APT 213, GLENDALE, AZ 85301-7135
(480) 876-5866
Mailing address
1160 W 64TH ST, HIALEAH, FL 33012-6418
(786) 443-3762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10336
AZ
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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