Individual
GERALYN MARY TOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 923-5626
(602) 923-5050
Mailing address
1313 E ANGELA DR, PHOENIX, AZ 85022-2072
(602) 493-5106
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
63165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0166240
BLUE CROSS
AZ
Enumeration date
07/31/2007
Last updated
07/31/2007
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