Individual
MONIQUE GURGEL LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
31079
AZ
207VM0101X
Maternal & Fetal Medicine Physician
DR0055754
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186017
—
AZ
Enumeration date
07/03/2006
Last updated
07/21/2022
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