Gary Bradley Lake MD

  • NPI 1679518708
According to our database, the NPI number for Gary Bradley Lake MD is 1679518708 and activated since 17 years ago. Gary Bradley Lake MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 167 North Main Street, Tuba City, AZ 86045. You can also contact Gary Bradley Lake MD via telephone number is (928) 283-2501. Provider NPI information was last updated on 07/08/2007.

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Overview of Gary Bradley Lake MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/20/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 29509
  • License State: AZ

Provider Mailing Address

  • Address: Po Box 600
    167 North Main Street
    Tuba City, AZ 86045
  • Phone: 928-283-2501
  • Fax: 928-283-2677

Provider Practice Location

  • Address: 167 North Main Street
    Tuba City, AZ 86045
  • Phone: 928-283-2501
  • Fax: 928-283-2677

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 29509
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 821702
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AZ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gary Bradley Lake MD?
  • A: The npi number for Gary Bradley Lake MD is 1679518708.
  • Q: What are Gary Bradley Lake MD's specialties?
  • A: Gary Bradley Lake MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Gary Bradley Lake MD?
  • A: The medical license number for Gary Bradley Lake MD is 29509 and issued in AZ in USA.
  • Q: Where is Gary Bradley Lake MD practice location?
  • A: Gary Bradley Lake MD is practicing at 167 North Main Street, Tuba City, AZ 86045.
  • Q: How to contact Gary Bradley Lake MD?
  • A: You can contact Gary Bradley Lake MD via 928-283-2501.