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Individual

PHILIP A GIDEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3099 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6903
(480) 945-3535
(480) 994-8179
Mailing address
3099 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6903
(480) 945-3535
(480) 994-8179

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35544
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1147620
CIGNA
AZ
01
2708028
UNITEDHEALTHCARE
AZ
01
2Z4722
HEALTHNET
AZ
01
35544
AZ MEDICAL LICENSE
AZ
01
7075491
AETNA
AZ
01
AZ0922520
BCBS AZ
AZ
01
P00344920
RAILROAD MEDICARE
AZ
Enumeration date
06/16/2006
Last updated
11/21/2007
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