Organization
PUNYAKAM PLLC
Active
Other names
AVISTA Medical Center & Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD GAMMAGE (CEO)
(480) 892-1212
Entity
Organization
Contact information
Practice address
690 E WARNER RD STE 133, GILBERT, AZ 85296-3057
(480) 892-1212
(480) 892-4941
Mailing address
690 E WARNER RD STE 133, GILBERT, AZ 85296-3057
(480) 892-1212
(480) 892-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28418
AZ
Other
Enumeration date
06/06/2011
Last updated
02/08/2022
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