Organization
GILBERT PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA WASSERMAN (OWNER/OPERATOR)
(480) 545-0000
Entity
Organization
Contact information
Practice address
725 W ELLIOT RD, SUITE 115, GILBERT, AZ 85233-5301
(480) 545-0000
(480) 545-7615
Mailing address
725 W ELLIOT RD, SUITE 115, GILBERT, AZ 85233-5301
(480) 545-0000
(480) 545-7615
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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