Individual
MARK EVAN GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 201, PHOENIX, AZ 85006-1462
(602) 933-3277
(602) 933-4326
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036100171
IL
207YP0228X
Pediatric Otolaryngology Physician
Primary
58195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499847
—
AZ
Enumeration date
08/31/2006
Last updated
08/23/2019
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