Individual
GARY A BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7010 E CHAUNCEY LN, STE 145, PHOENIX, AZ 85054-3111
(480) 502-5533
(480) 502-5761
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z2576
HEALTH NET
AZ
01
—
7944569
AETNA
AZ
01
—
872483
AHCCCS
AZ
05
—
872483
—
AZ
01
—
AZ0785250
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/16/2005
Last updated
03/09/2012
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