Individual
ERGI O GUMUSANELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E STATE HIGHWAY 260, PAYSON, AZ 85541-4935
(303) 808-5566
Mailing address
16810 AVENUE OF THE FOUNTAINS, SUITE 200, FOUNTAIN HILLS, AZ 85268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48431
CO
2084P0800X
Psychiatry Physician
49742
AZ
2084P0800X
Psychiatry Physician
A133155
CA
323P00000X
Psychiatric Residential Treatment Facility
48431
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000102175
—
CO
Enumeration date
11/18/2008
Last updated
02/18/2022
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