Individual
GLORIA A ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13402 N 32ND ST, SUITE 5, PHOENIX, AZ 85032-6047
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32069
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974263
—
AZ
Enumeration date
02/03/2006
Last updated
08/23/2019
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