Individual
MR. GORDON D. STABLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
530 E MCDOWELL RD, PHOENIX, AZ 85004-1549
(602) 281-9540
Mailing address
241 ROMA DR, SHREVEPORT, LA 71105-3616
(262) 716-4868
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011616
AZ
Other
Enumeration date
05/24/2011
Last updated
12/02/2022
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