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Individual

DR. GARY ALLEN LUKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 WEST MONTGOMERY CROSS ROAD, SAVANNAH, GA 31406-5641
(208) 989-0813
Mailing address
325 W MONTGOMERY CROSS RD, SAVANNAH, GA 31406-3309
(888) 878-6886

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36964
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020537
AZ
01
AZ0201750
AZ BLUECROSS AND BLUESHIELD
AZ
Enumeration date
08/02/2006
Last updated
01/24/2014
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