Individual
DR. GARY NATHAN NAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6280
(623) 537-6281
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6280
(623) 537-6281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-064398
IL
Other
Enumeration date
05/13/2014
Last updated
04/16/2018
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