Individual
DR. RANDY STEVEN GELOW II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11209 N TATUM BLVD STE B185, PHOENIX, AZ 85028-3091
(602) 669-2585
(602) 669-2586
Mailing address
11209 N TATUM BLVD STE 185, PHOENIX, AZ 85028-6016
(602) 669-2585
(602) 669-2586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49455
AZ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
61-19507
AZ
Other
Enumeration date
05/16/2011
Last updated
04/21/2024
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