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Individual

GAIL STOTSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
US 191 & AZ 264, GANADO, AZ 86505
(928) 755-4632
(928) 755-4831
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01042055A
IN
208000000X
Pediatrics Physician
MD2023-0110
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100421030
IN
Enumeration date
06/06/2006
Last updated
05/28/2025
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