Individual
GERTIE P VENCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10238 E HAMPTON AVE STE 301A, MESA, AZ 85209-3322
(602) 553-3113
Mailing address
10238 E HAMPTON AVE STE 301A, MESA, AZ 85209-3322
(602) 553-3113
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
11342
AZ
Other
Enumeration date
06/03/2024
Last updated
12/12/2025
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