Individual
GAIL BUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 E HAZELTINE WAY, CHANDLER, AZ 85249-4644
(480) 664-6764
Mailing address
15648 N 35TH AVE, PHOENIX, AZ 85053-3818
(602) 732-4950
(602) 732-5480
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
5367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745557
—
AZ
Enumeration date
01/23/2007
Last updated
08/19/2011
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