Individual
DR. EDWARD MICHAEL GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4575 E BROADWAY BLVD, TUCSON, AZ 85711-3509
(520) 901-6816
(520) 901-6846
Mailing address
4575 E BROADWAY BLVD, TUCSON, AZ 85711-3509
(520) 901-6816
(520) 901-6846
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2368
AZ
2084P0800X
Psychiatry Physician
701
WV
2084P0800X
Psychiatry Physician
OS004221-L
PA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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