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Individual

THOMAS GENE GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
35075261
OH
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
71019
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
DR.0064358
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133198
AZ
Enumeration date
08/10/2005
Last updated
10/25/2023
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