Individual
DR. GARY ROSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3811 E BELL RD, SUITE #111, PHOENIX, AZ 85032-2138
(602) 923-4555
Mailing address
3811 E BELL RD, SUITE #111, PHOENIX, AZ 85032-2138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2948
AZ
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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