Organization
MKG INTERNAL MEDICINE PLLC
Active
Other names
Desert Rose Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE K GABBERT DO (MEMBER)
(602) 291-1784
Entity
Organization
Contact information
Practice address
34406 N 27TH DR, BLDG 6, STE 110, PHOENIX, AZ 85085-6082
(602) 291-1784
Mailing address
21001 N TATUM BLVD, STE 1630-156, PHOENIX, AZ 85050-4206
(602) 291-1784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670364
—
AZ
Enumeration date
01/03/2012
Last updated
09/22/2014
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