Individual
NA TOSHA NA CHOLE GATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD,FAAN
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006-4903
(602) 867-3880
(623) 285-2710
Mailing address
925 E MCDOWELL RD, PHOENIX, AZ 85006-4903
(602) 867-3880
(623) 285-2710
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD457925
PA
2084N0400X
Neurology Physician
01076887A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102014796
ANTHEM PTAN
IN
05
—
300086954
—
IN
Enumeration date
05/22/2009
Last updated
03/16/2025
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