Individual
DR. GORDON LOUIS GRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2926 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6902
(480) 614-6300
(480) 614-6333
Mailing address
2926 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6902
(480) 614-6300
(480) 614-6333
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17487
AZ
2085R0203X
Therapeutic Radiology Physician
17487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351114
—
AZ
Enumeration date
04/13/2006
Last updated
06/21/2024
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