Individual
ANASTASIA GENTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3124
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69547
AZ
208000000X
Pediatrics Physician
L1324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132899
—
AZ
Enumeration date
08/15/2005
Last updated
10/25/2023
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