Individual
MR. GARY L MORT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13090 N 94TH DR, STE 210, PEORIA, AZ 85381-4256
(623) 972-6700
(623) 972-4457
Mailing address
13090 N 94TH DR, STE 210, PEORIA, AZ 85381-4256
(623) 972-6700
(623) 972-4457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1397
AZ
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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