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DR. JOSE L. MUNOZ M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1437134830
Individual Registrant:DR. JOSE L. MUNOZ M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
214 W MAIN ST SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120 Fax: 928-722-6113
Tel: 928-627-1120 Fax: 928-722-6113
Contact information for business:
PO BOX 617 SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001 Fax: 928-722-6113
Tel: 928-236-8001 Fax: 928-722-6113
Registration Information:
NPI: 1437134830
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | AZ | 20379 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 069725 | AZ | 05 | |
| MEDICARE PTAN | 105270 | AZ | 01 |
