Provider Demographics
NPI:1528363694
Name:ANA M SIERRA DE ARAGON MD
Entity Type:Organization
Organization Name:ANA M SIERRA DE ARAGON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIERRA DE ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-889-2165
Mailing Address - Street 1:5005 S ASH AVE STE A-2
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6837
Mailing Address - Country:US
Mailing Address - Phone:480-889-2165
Mailing Address - Fax:480-889-2164
Practice Address - Street 1:3303 E BASELINE RD STE 203
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2728
Practice Address - Country:US
Practice Address - Phone:480-300-5388
Practice Address - Fax:480-889-2164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41648207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty