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MIGUEL FONSECA-MORENO
Physician Assistant
NPI: 1417724402IndividualAccepts Medicare
Specialties, Licenses & Credentials
Internal Medicine Physician
Internal Medicine
Code: 207R00000X
10680(AZ)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 42104 N VENTURE DR STE D118
ANTHEM, AZ 85086 - Phone
- (623) 505-9880
Quick Facts
- NPI
- 1417724402
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 2
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