Healthcare Provider Details

I. General information

NPI: 1306548599
Provider Name (Legal Business Name): NATALIA NICOLLE GARCIA-STODDARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIA NICOLLE GARCIA MD

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

IV. Provider business mailing address

1141 S LA CANADA DR
GREEN VALLEY AZ
85614-1945
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-0111
  • Fax:
Mailing address:
  • Phone: 520-694-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81138
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: