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Individual

DR. THOMAS F. MERTINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18185 N 83RD AVE, BLDG D, SUITE 107, GLENDALE, AZ 85308-0516
(623) 583-0306
(623) 583-1349
Mailing address
18185 N 83RD AVE, BLDG D, SUITE 107, GLENDALE, AZ 85308-0516
(623) 583-0306
(623) 583-1349

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268583
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268583
AZ
Enumeration date
04/25/2006
Last updated
06/12/2008
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