Organization
WESTERN MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES GONZALEZ D.O. (DIRECTOR)
(480) 200-4062
Entity
Organization
Contact information
Practice address
10615 E KIVA AVE, MESA, AZ 85209-1563
(480) 354-8904
Mailing address
PO BOX 52649, MESA, AZ 85208-0133
(480) 200-4062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3435
AZ
Other
Enumeration date
03/07/2006
Last updated
08/22/2020
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