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Individual

GEORGE T GENDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19636 N 27TH AVE, STE 401, PHOENIX, AZ 85027
(602) 298-8888
(602) 978-4129
Mailing address
6320 W UNION HILLS DR STE 1800, GLENDALE, AZ 85308-1372
(480) 420-0749
(480) 420-0732

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
49481
AZ
207X00000X
Orthopaedic Surgery Physician
49481
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
49481
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
AZ
Enumeration date
01/28/2008
Last updated
09/19/2019
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