Individual
MR. GARY W PULSIPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6410 S CENTRAL AVE, PHOENIX, AZ 85042
(602) 276-9861
(602) 276-9099
Mailing address
6410 S CENTRAL AVE, PHOENIX, AZ 85042
(602) 276-9861
(602) 276-9099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094201
AHCCCS
AZ
Enumeration date
05/11/2007
Last updated
07/08/2007
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