Arizona Gastro Care

NPI 1164775698 - Internal Medicine - 207RG0100X

NPI Details
NPI 1164775698
Enumeration Date 10/22/2012
Last Updated 12/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHABAZ A. SHABAZ
Position PROPRIETOR
Phone (480) 553-9277
Fax (866) 630-8347
Practice Location
10238 E HAMPTON AVE
#305
MESA AZ, 85209-3316, US
Phone (480) 553-9277
Fax (866) 630-8347
Business Location
11445 E VIA LINDA
#2139
SCOTTSDALE AZ, 85259-2655, US
Phone (480) 553-9277
Fax (866) 630-8347
Toxanomy
Taxonomy Code 207RG0100X
License State Arizona
License Number 40783
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According to our database, Arizona Gastro Care NPI is 1164775698, taxonomy code is 207RG0100X and license number is 40783, license state is located at Arizona. Arizona Gastro Care physically located at 10238 E Hampton Ave, Mesa AZ, 85209-3316. NPI Number 1033115704 has the healthcare provider type.

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1164775698 NPI number is provided on an as is basis without warranty of any kind. 1164775698 is maintained by the National Plan & Provider Enumeration System. The contents of Arizona Gastro Care are for informational purposes only.