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Organization

INTERNAL MEDICINE PRIMARY CARE SPECIAILISTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON E GITTMAN M.D. (MEMBER)
(602) 588-7007
Entity
Organization

Contact information

Practice address
12440 N 40TH DR, PHOENIX, AZ 85029-2969
(602) 588-7007
Mailing address
12440 N 40TH DR, PHOENIX, AZ 85029-2969
(602) 588-7007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10754
AZ

Other

Enumeration date
03/01/2007
Last updated
01/26/2010
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