Individual
AMIR EZZAT GERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1000 WILLOW CREEK RD, SUITE F, PRESCOTT, AZ 86301-1645
(480) 610-6100
(480) 610-6189
Mailing address
2149 E WARNER RD, SUITE 102, TEMPE, AZ 85284-3494
(480) 610-6100
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
006747
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038696
—
AZ
Enumeration date
07/30/2009
Last updated
01/16/2017
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