# GADSTAR, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gadstar Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649719071
- **Authorized official:** MRS. SOUSOU GAD AWAD M.D. (MEMBER/MANAGING EMPLOYEE)
- **Authorized official phone:** (480) 389-7019

## Contact information

- **Practice address:** 3515 W UNION HILLS DR STE 111, GLENDALE, AZ 85308-2430
- **Practice address phone:** (623) 328-8630
- **Practice address fax:** (623) 243-7842
- **Mailing address:** 3515 W UNION HILLS DR STE 111, GLENDALE, AZ 85308-2430
- **Mailing address phone:** (623) 328-8630
- **Mailing address fax:** (623) 243-7842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017