Organization
SHELDON E. GINGERICH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ANN STARKE (CREDENTIALING COORDINATOR)
(520) 545-1765
Entity
Organization
Contact information
Practice address
2902 E GRANT RD, TUCSON, AZ 85716-2742
(520) 322-8440
(520) 322-8462
Mailing address
2902 E GRANT RD, TUCSON, AZ 85716-2742
(520) 322-8440
(520) 322-8462
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
14436
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25566303
—
AZ
Enumeration date
11/29/2010
Last updated
11/29/2010
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