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Individual

DAVID A TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6120 W BELL RD, SUITE 100, GLENDALE, AZ 85308-3781
(623) 512-4326
(623) 584-6732
Mailing address
6120 W BELL RD, SUITE 100, GLENDALE, AZ 85308-3781
(623) 512-4326
(623) 584-6732

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
005223
AZ
2086S0129X
Vascular Surgery Physician
Primary
005223
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429140
AZ
Enumeration date
03/29/2007
Last updated
09/04/2014
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