Individual
GABRIEL NKUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPAS, PA-C
Contact information
Practice address
3420 S MERCY RD STE 200, GILBERT, AZ 85297-0423
(480) 909-3788
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11498
AZ
363AS0400X
Surgical Physician Assistant
11498
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
04/13/2026
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