Individual
TEMPLE GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3015 HIGHWAY 95, BULLHEAD CITY, AZ 86442-4334
(928) 763-5055
(928) 763-5056
Mailing address
3015 HIGHWAY 95, BULLHEAD CITY, AZ 86442-4334
(928) 763-5055
(928) 765-5056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3418
AZ
Other
Enumeration date
05/11/2006
Last updated
03/17/2013
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