Individual
MR. GARY LEE BEREBITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10750 W MCDOWELL RD, G700, AVONDALE, AZ 85392
(623) 873-0321
(623) 849-9623
Mailing address
10750 W MCDOWELL RD, G700, AVONDALE, AZ 85392-5960
(623) 873-0321
(623) 849-9623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16877
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268773
—
AZ
Enumeration date
06/14/2006
Last updated
05/27/2011
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