Individual
DWAYNE DOUGLAS GBELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3317 S HIGLEY RD, SUITE 114-171, GILBERT, AZ 85297-5436
(480) 620-4498
(888) 411-9856
Mailing address
3317 S HIGLEY RD, SUITE 114-171, GILBERT, AZ 85297-5436
(480) 620-4498
(888) 411-9856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-137
AZ
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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