Individual
GARY MICHAEL RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4374 E BUTTE AVE, FLORENCE, AZ 85132
(520) 868-0201
Mailing address
1727 W EMELITA AVE APT 2104, MESA, AZ 85202-3168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
270751
AZ
Other
Enumeration date
02/14/2022
Last updated
05/23/2024
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