Organization
ARIZONA GRAND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA T GAIDICI M.D. (MEDICAL DOCTOR)
(602) 200-8988
Entity
Organization
Contact information
Practice address
1715 W NORTHERN AVE, 108, PHOENIX, AZ 85021-5472
(602) 395-0718
(602) 277-8146
Mailing address
1715 W NORTHERN AVE, 108, PHOENIX, AZ 85021-5472
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31367
AZ
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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