Individual
BRENT J. GEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5045 N 12TH ST STE A, PHOENIX, AZ 85014-3302
(602) 274-3438
Mailing address
5045 N 12TH ST STE A, PHOENIX, AZ 85014-3302
(602) 274-3438
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3314
AZ
207QB0002X
Obesity Medicine (Family Medicine) Physician
3314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528276
—
AZ
01
—
AZ0898550
BLUECROSS BLUESHIELD
AZ
Enumeration date
02/03/2006
Last updated
10/24/2019
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