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Individual

GARY STEVEN KAUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9250 N. 3RD STREET, SUITE 3010, PHOENIX, AZ 85020-2425
(602) 861-1168
(602) 861-1763
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22774
AZ
207RI0011X
Interventional Cardiology Physician
Primary
22774
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186199
AZ
Enumeration date
08/10/2005
Last updated
09/25/2013
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