Organization
EAST VALLEY FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITA GUPTA MD (PROPRIETOR/DIRECTOR)
(480) 269-8436
Entity
Organization
Contact information
Practice address
3885 S VAL VISTA DR, #103, GILBERT, AZ 85297-7313
(480) 269-8436
(480) 269-8438
Mailing address
3885 S VAL VISTA DR, #103, GILBERT, AZ 85297-7313
(480) 269-8436
(480) 269-8438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41594
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453323
—
AZ
Enumeration date
02/12/2013
Last updated
04/04/2013
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