Individual
DR. GARY EDWARD KIRKILAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0945
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
006481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969141
—
AZ
Enumeration date
04/14/2010
Last updated
10/09/2019
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