Individual
GRAVIOLA RUTH BROOKS-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6707 N 19TH AVENUE, STE 109, PHOENIX, AZ 85015
(602) 973-9234
(602) 973-9271
Mailing address
6707 N 19TH AVENUE, STE 109, PHOENIX, AZ 85015
(602) 973-9234
(602) 973-9271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531881
—
AZ
Enumeration date
08/23/2005
Last updated
10/24/2025
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