Organization
DR BEREKET A GUANGUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEREKET A GUANGUL MD (SOLE MEMBER)
(480) 228-3133
Entity
Organization
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
19801 N 59TH AVE #11073, GLENDALE, AZ 85318
(480) 228-3133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43772
AZ
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605956
—
AZ
Enumeration date
07/19/2012
Last updated
07/14/2022
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