Gordon E Genta, M.d. P.c.

NPI 1457386013 - Specialist - 174400000X

NPI Details
NPI 1457386013
Enumeration Date 07/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GORDON E GORDON
Position OWNER
Phone (480) 839-3621
Fax (480) 820-3309
Practice Location
2600 E SOUTHERN AVE STE J2
TEMPE AZ, 85282-7742, US
Phone (480) 839-3621
Fax (480) 820-3309
Business Location
2600 E SOUTHERN AVE STE J2
TEMPE AZ, 85282-7742, US
Phone (480) 839-3621
Fax (480) 820-3309
Toxanomy
Taxonomy Code 174400000X
License State Arizona
License Number 15529
Remove 1457386013 NPI Number
 

According to our database, Gordon E Genta, M.d. P.c. NPI is 1457386013, taxonomy code is 174400000X and license number is 15529, license state is located at Arizona. Gordon E Genta, M.d. P.c. physically located at 2600 E Southern Ave Ste J2, Tempe AZ, 85282-7742. NPI Number 1033115704 has the healthcare provider type.

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1457386013 NPI number is provided on an as is basis without warranty of any kind. 1457386013 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon E Genta, M.d. P.c. are for informational purposes only.