Individual provider · Type 1 NPI
Gary Michael Cole, PA
Medical Physician Assistant · Phoenix, AZ
NPI number
1033352828
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Mailing address
4212 North 16th St
Phoenix, AZ 85016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | KA767 (KS) |
Medical Physician Assistant: Definition to come...
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About NPI 1033352828
Gary Michael Cole, PA's National Provider Identifier is 1033352828, issued on Apr 9, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 9, 2009.