Cazares, Carlos Mendoza

Cazares, Carlos Mendoza is an individual health care provider with primary practice located at 6717 N 59Th Ave , Glendale AZ 85301-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cazares, Carlos Mendoza can be contacted via phone (623) 939-1411.

Contact Information

Primary practice address
6717 N 59Th Ave Glendale AZ 85301-3205
Phone: (623) 939-1411
Fax: (623) 939-1465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1700 Arizona

Profile Details

NPI number 1649237488
LBN Legal business name Cazares, Carlos Mendoza
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649237488 NPPES
Arizona MEDICAID 213546
Arizona Other Z153225

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