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Organization
GARTENBERG FAMILY MEDICINE, PLLC
Active
Organization
GARTENBERG FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA B. GARTENBERG D.O. (OWNER)
(602) 363-1631
Entity
Organization
Contact information
Practice address
8575 E PRINCESS DR, SUITE # 107, SCOTTSDALE, AZ 85255-5483
(602) 363-1631
(888) 360-8644
Mailing address
16211 N SCOTTSDALE RD, SUITE A6A-213, SCOTTSDALE, AZ 85254-1584
(602) 363-1631
(888) 360-8644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z154006
MEDICARE PTAN
AZ
Enumeration date
05/17/2012
Last updated
10/01/2012
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