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Individual

DR. MARK GETTLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1790 E BOSTON ST, GILBERT, AZ 85295-6247
(602) 933-3549
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(029) 331-8136

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23947
AZ
208000000X
Pediatrics Physician
MD60622294
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2055783
WA
Enumeration date
10/02/2006
Last updated
03/08/2023
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