Organization
A-Z PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. USHA M GOPAL MD (OWNER)
(480) 497-3946
Entity
Organization
Contact information
Practice address
633 E RAY RD # 128, GILBERT, AZ 85296-4200
(480) 497-3946
Mailing address
633 E RAY RD # 128, GILBERT, AZ 85296-4200
(480) 497-3946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108376
GROUP UPIN
AZ
Enumeration date
07/04/2006
Last updated
02/16/2012
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