Individual
DR. BRIAN DANIEL GANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1514 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4741
(520) 836-2787
Mailing address
7462 E LAKEVIEW AVE, MESA, AZ 85209-4913
(406) 531-9918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015857
AZ
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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