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Organization

SEPARTMENT OF VETERNS AFFAIRS

Active
Other names
Southern Arizona VA Health Care System
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHAVESH K. GUPTA M.D. (DIRECTOR)
(520) 609-1919
Entity
Organization

Contact information

Practice address
1876 E SABIN DR, CASA GRANDE, AZ 85222-6197
(520) 792-1450
Mailing address
1876 E SABIN DR, CASA GRANDE, AZ 85222-6197
(520) 792-1450

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
RN108343
AZ

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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