Organization
GARY T. NAGAMOTO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY NAGAMOTO M.D. (PRESIDENT)
(480) 857-3100
Entity
Organization
Contact information
Practice address
2450 E GUADALUPE RD, SUITE 103, GILBERT, AZ 85234-5116
(480) 857-3100
(480) 857-3884
Mailing address
2450 E GUADALUPE RD, SUITE 103, GILBERT, AZ 85234-5116
(480) 857-3100
(480) 857-3884
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
17729
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962477729
NPI
AZ
Enumeration date
08/05/2007
Last updated
08/05/2007
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