Individual
DR. MARK J GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2680 S VAL VISTA DR, STE 167, GILBERT, AZ 85295-1638
(480) 857-0222
(480) 857-0020
Mailing address
2680 S VAL VISTA DR, STE 167, GILBERT, AZ 85295-1638
(480) 857-0222
(480) 857-0020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AZ12913
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25172803
—
AZ
Enumeration date
08/16/2006
Last updated
03/02/2021
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