Gary Deaver Boston M.D.

NPI 1063414241 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1063414241
Gender Male
Enumeration Date 06/01/2005
Last Updated 10/21/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4212 N 16TH ST
PHOENIX AZ, 85016-5319, US
Phone (602) 263-1200
Fax (602) 200-5383
Business Location
PO BOX 31001-0698
PASADENA CA, 91110-0698, US
Phone (602) 263-1200
Taxonomy Code 207X00000X
License State Kansas
License Number 0418345
Remove 1063414241 NPI Number

According to our database, Dr. Gary Deaver Boston M.D. NPI is 1063414241, taxonomy code is 207X00000X and license number is 0418345, license state is located at Kansas. Gary Deaver Boston M.D. physically located at 4212 N 16th St, Phoenix AZ, 85016-5319. NPI Number Gary Deaver Boston M.D. has the Individual type.

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1063414241 NPI number is provided on an as is basis without warranty of any kind. 1063414241 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Deaver Boston M.D. are for informational purposes only.