Arizona State Internal Medicine Associates Pllc

NPI #1255684437 in Glendale, Arizona

Provider Information

NPI Number: 1255684437
Entity Type: Organization
Organization Name: Arizona State Internal Medicine Associates Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 25, 2012
Last Updated: Oct 25, 2012

Practice Location

Address: 17100 N 67TH AVE
Address 2: SUITE 401
City: Glendale
State: Arizona
ZIP Code: 85308-3605
Phone: (602) 795-8698

Authorized Official

Name: DR. LETICIA GANGAN JACINTO, MD
Title: PRESIDENT
Phone: (602) 361-8099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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