Individual
DR. LETTY GUPIT TAN-FERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W TALAVI BLVD, SUITE 180, GLENDALE, AZ 85306-1886
(623) 486-8082
(623) 486-2739
Mailing address
4747 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28320
AZ
Other
Enumeration date
08/30/2006
Last updated
02/16/2012
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