Organization
GAYLE P MASTERSON, MD, PLC
Active
Organization
GAYLE P MASTERSON, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLEQ P MASTERSON MD (MEMBER OF LLC, OWNER, PHYSICIAN)
(520) 229-0585
Entity
Organization
Contact information
Practice address
6280 E PIMA ST STE 110, TUCSON, AZ 85712-3074
(520) 229-0585
Mailing address
6280 E PIMA ST STE 110, TUCSON, AZ 85712-3074
(520) 229-0585
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063626125
NPI
AZ
Enumeration date
12/08/2021
Last updated
12/08/2021
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