MEDICARE: HARMONY MEDICAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1629020730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 40938
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85274-0938
Country	:	US
Telephone Number	:	602-237-0677
Fax Number	:	602-237-0679

Provider Business Practice Location Address
First Line	:	1012 E WILLETTA ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2749
Country	:	US
Telephone Number	:	602-237-0677
Fax Number	:	602-237-0679

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA T GONZALEZ
Credential	:	MD
Telephone Number	:	602-237-0677

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2020

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