Organization · Type 2 NPI

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General Practice Physician · Gilbert, AZ

NPI number 1518779461 Active

Practice location

920 W Breckenridge Ave
Gilbert, AZ 85233-3762

Call (520) 399-5671 Map

Fax (480) 900-8472

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1518779461

-'s National Provider Identifier is 1518779461, issued on Jan 27, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 27, 2025.