Individual
DR. GARY LYNN KERSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9515 W CAMELBACK RD, STE 108, PHOENIX, AZ 85037-1355
(602) 428-0068
(602) 428-0069
Mailing address
9515 W CAMELBACK RD, STE 108, PHOENIX, AZ 85037-1355
(602) 428-0068
(602) 428-0069
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
21176
AZ
207V00000X
Obstetrics & Gynecology Physician
21176
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173873
—
AZ
Enumeration date
05/31/2005
Last updated
08/31/2013
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