Individual
RICARDO LA GROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 N DOBSON RD STE B-1, CHANDLER, AZ 85224-9608
(602) 491-0703
(833) 464-2516
Mailing address
840 E MCKELLIPS RD STE 105, MESA, AZ 85203-9654
(602) 491-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70920
AZ
208D00000X
General Practice Physician
022884
PR
Other
Enumeration date
11/04/2021
Last updated
01/02/2024
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