Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HANKINS (MEDICAL STAFF SPECIALIST)
(602) 277-5551
Entity
Organization
Contact information
Practice address
2349 W SHAW BUTTE DR, PHOENIX, AZ 85029-3434
(602) 435-6384
Mailing address
2349 W SHAW BUTTE DR, PHOENIX, AZ 85029-3434
(602) 435-6384
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LP045618
AZ
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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