Organization
PHYSICAL MEDICINE OF GILBERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOSHIRI MD (MANAGER)
(602) 441-3573
Entity
Organization
Contact information
Practice address
130 S VAL VISTA DR STE 102, GILBERT, AZ 85296-1363
(602) 441-3573
Mailing address
130 S VAL VISTA DR STE 102, GILBERT, AZ 85296-1363
(480) 912-1434
(480) 887-8041
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
02/24/2022
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