Organization
GATMAL , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN NDUNYU (ADMINISTRATOR)
(480) 525-7605
Entity
Organization
Contact information
Practice address
2432 W ROMLEY AVE, PHOENIX, AZ 85041-2943
(480) 525-7605
Mailing address
2432 W ROMLEY AVE, PHOENIX, AZ 85041-2943
(480) 525-7605
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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