Provider Demographics
NPI:1265672067
Name:GARCIA, LUKE W I (DO)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:W
Last Name:GARCIA
Suffix:I
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:530 E MCDOWELL RD STE 107-428
Mailing Address - Street 2:SUITE 107-428
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1549
Mailing Address - Country:US
Mailing Address - Phone:623-299-9630
Mailing Address - Fax:602-595-0922
Practice Address - Street 1:530 E MCDOWELL RD STE 107-428
Practice Address - Street 2:SUITE 107-428
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1549
Practice Address - Country:US
Practice Address - Phone:623-299-9630
Practice Address - Fax:602-595-0922
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ006087208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ812622Medicaid
AZ812622Medicaid