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Individual

DR. PAUL G GAITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11030 N. TATUM BLVD, BLDG F, SUITE 101, PHOENIX, AZ 85028
(602) 889-9880
(480) 393-7444
Mailing address
11030 N. TATUM BLVD, BLDG F, SUITE 101, PHOENIX, AZ 85028
(602) 889-9880
(408) 393-7444

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32717
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876279
AZ
Enumeration date
03/03/2006
Last updated
06/10/2025
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