Individual
MR. GORDON S. MANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
5620 E BELL RD, SCOTTSDALE, AZ 85254-5950
(602) 493-9361
(602) 493-9508
Mailing address
P.O. BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3805
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
252
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3914
HEALTHNET ID
—
05
—
494097
—
AZ
Enumeration date
05/11/2006
Last updated
08/24/2011
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