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Individual

DR. MICHELLE K GABBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
21001 N TATUM BLVD, STE 1630-156, PHOENIX, AZ 85050-4206
(602) 291-1784
Mailing address
21001 N TATUM BLVD, STE 1630-156, PHOENIX, AZ 85050-4206
(602) 291-1784

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005178
AZ
208M00000X
Hospitalist Physician
005178
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
437388
AZ
Enumeration date
05/02/2007
Last updated
09/05/2012
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