Organization
GILBERT PRIMARY CARE PC
Active
Other names
Gilbert Primary Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
RENE DE JESUS (CONTROLLER)
(480) 505-3292
Entity
Organization
Contact information
Practice address
3048 E BASELINE RD, SUITE 120, MESA, AZ 85204
(480) 505-3292
(480) 505-3288
Mailing address
3048 E BASELINE RD, SUITE 120, MESA, AZ 85204
(480) 505-3292
(480) 505-3288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AZ
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
AZ
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
04/02/2013
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