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Individual

DR. JEROME JAY GABRIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9003 E SHEA BLVD, LABOR & DELIVERY, 2ND FL, SCOTTSDALE, AZ 85260-6709
(480) 323-1690
(480) 323-3617
Mailing address
4722 N 24TH ST, SUITE 150, PHOENIX, AZ 85016-4800
(602) 256-4628
(602) 957-9442

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10716
HI
207V00000X
Obstetrics & Gynecology Physician
Primary
29319
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
578693
AZ
01
H52075
UPIN NUMBER
AZ
Enumeration date
03/28/2006
Last updated
01/04/2022
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