Individual
GERALD L ECHOLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1241 E. BROADWAY #28, MESA, AZ 85204-2254
(480) 835-0909
(480) 835-6501
Mailing address
1241 E. BROADWAY #28, MESA, AZ 85204-2254
(480) 835-0909
(480) 835-6501
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
07-501426-Z
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ-0274950
BLUE CROSS BLUE SHIELD OF
AZ
Enumeration date
05/22/2006
Last updated
07/08/2007
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