| Doctor Name: | DR. CARLOS MENDOZA CAZARES |
| NPI Number: | 1649237488 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 1700 |
| Business Practice Address: | 6717 N 59th Ave Glendale, AZ - 853013205 |
| Business Phone Number: | 6239391411 |
| Business Fax Number: | 6239391465 |
| Mailing Address: | 6717 N 59th Ave, GLENDALE |
| State: | AZ |
| Postal Code: | 853013205 |
| Phone Number: | 6239391411 |
| Fax Number: | 6239391465 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |