Gloria E Garcia Mariscal (NPI# 1417989591, PAC ID# 4385664952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1417989591 |
PAC ID by PECOS | 4385664952 |
Professional Enrollment ID | I20051128000550 |
Full Name | Gloria E Garcia Mariscal |
Address |
1535 E 10th St Douglas AZ 85607-2309 |
Phone Number | 5208050650 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
031312 | COPPER QUEEN COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1535 E 10th St, Douglas, AZ 85607-2309 | 5208050650 |
Street Address |
1535 E 10TH ST |
City | DOUGLAS |
State | AZ |
Zip | 85607-2309 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew Navindra Latchman | Hospice/palliative Care | Southwest Cancer Care LLC | 100 E 5th, Douglas, AZ 85607 |
Pamela Catherine Oliphant | Registered Dietitian Or Nutrition Professional | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Ivan R Rodriguez Kalaf | Internal Medicine | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Dia C Madden | Nurse Practitioner | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Maryslenni Gil | Internal Medicine | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Gustavo Durazo Jr. | Nurse Practitioner | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Juan Salvador Perez Gomez | Internal Medicine | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Jonathan P Melk | Pediatric Medicine | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Luis E Garcia Suero | Internal Medicine | Chiricahua Community Health Centers, Inc | 1100 F Ave, Douglas, AZ 85607-1919 |
Frank E Molls | Cardiovascular Disease (cardiology) | Pima Heart Physicians, PC | 1100 F Ave, Douglas, AZ 85607-1919 |
Find all physicians in zip 85607 |
City | DOUGLAS |
Zip Code | 85607 |
Specialty | GENERAL PRACTICE |
City + Specialty | DOUGLAS + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.