Organization
GARY L. MUNCY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARISE GARDNER (BILLING & COLLECTIONS MANAGER)
(928) 348-1601
Entity
Organization
Contact information
Practice address
2241 W 16TH ST, SAFFORD, AZ 85546-4048
(928) 348-1600
(928) 348-1603
Mailing address
2241 W 16TH ST, SAFFORD, AZ 85546-4048
(928) 348-1600
(928) 348-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ20267
AZ
363LF0000X
Family Nurse Practitioner
AP2357
AZ
Other
Enumeration date
09/21/2006
Last updated
12/14/2007
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