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Individual

DR. THOMAS LEE GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W THOMAS RD, STE. 400, PHOENIX, AZ 85013-4224
(602) 406-3874
(602) 406-4922
Mailing address
500 W THOMAS RD, SUITE 400, PHOENIX, AZ 85013-4224
(602) 406-3874
(602) 406-4922

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29344
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
568561
AHCCCS
AZ
Enumeration date
11/02/2006
Last updated
02/18/2015
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