Individual
DR. GERALD LEWIS YOSPUR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 S DOBSON RD, SUITE 213, MESA, AZ 85202-4725
(480) 733-3933
(480) 733-3903
Mailing address
1520 S DOBSON RD, SUITE 213, MESA, AZ 85202-4725
(480) 733-3933
(480) 733-3903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26372
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ 0856540
BCBS
AZ
Enumeration date
02/20/2006
Last updated
07/08/2007
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