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Individual

DIRK S GESINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W. THOMAS ROAD, SUITE 850, PHOENIX, AZ 85013
(602) 406-2669
(602) 406-6889
Mailing address
500 W. THOMAS ROAD, SUITE 850, PHOENIX, AZ 85013
(602) 406-2665
(602) 212-4768

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26782
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429599
AZ
Enumeration date
09/05/2006
Last updated
01/23/2020
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