Individual
JOSE MARIA FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14519 W HILLSIDE ST, GOODYEAR, AZ 85395-8224
(623) 536-6328
Mailing address
14519 W HILLSIDE ST, GOODYEAR, AZ 85395-8224
(623) 536-6328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29818
AZ
208000000X
Pediatrics Physician
29818
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711318
—
AZ
Enumeration date
03/24/2006
Last updated
09/17/2015
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