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Search › Arizona › 363LF0000X

Carmencita Medalle

NPI 1346133196 · on the registry since 2025

Practice

Address
1800 N Civic Sq Ste 200
Goodyear, AZ 85395
Phone
(623) 465-6506
Organisation at this address
Banner Physician Specialists Arizona Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona