NPI 1003293952

Arizona Endoscopy, PLLC

Organisation Surgery Physician Mesa, AZ

Practice location

Address: 1810 S Crismon Rd #191, Mesa, AZ 85209-3717
Phone: (480) 393-0575
Fax: (480) 704-4019

Authorised official

Name: Jose Lopez Gonzalez
Title: Proprietor
Phone: (480) 393-0575

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 17667 (AZ)

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Registry record

NPI: 1003293952
Entity type: Organization
NPI issued: 29 Apr 2015
Record last updated: 29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.