Individual
DR. GARY A PLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3360 E LINDA VISTA DR, FLAGSTAFF, AZ 86004-2228
(928) 526-9510
(928) 526-9511
Mailing address
3360 E LINDA VISTA DR, FLAGSTAFF, AZ 86004-2228
(928) 526-9510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3456
AZ
103T00000X
Psychologist
Primary
739
NM
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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