Individual
MARIA J DEGUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PNC, P.O. BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
GA64920
GA
208M00000X
Hospitalist Physician
Primary
064920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133479B
—
GA
Enumeration date
09/22/2009
Last updated
06/25/2019
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