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Individual

DR. PUSHPA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4610 SOUTH 44TH PLACE, PHOENIX, AZ 85040-4010
(602) 464-7500
Mailing address
6655 NORTH MACARTHUR BLVD., 3RD FLOOR, IRVING, TX 75039-2443
(602) 464-7500

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35218
AZ

Other

Enumeration date
05/26/2006
Last updated
11/13/2012
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