Individual
GARY ALAN ST. ANTOINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6028
Mailing address
3106 E BROOKWOOD CT, PHOENIX, AZ 85048-7778
(480) 231-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN084997
AZ
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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