Individual
JAMES EDWARD GERACE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 N 16TH ST, SUITE 201, PHOENIX, AZ 85020-5265
(602) 363-4646
Mailing address
8505 N 13TH AVE, PHOENIX, AZ 85021-4406
(602) 363-4646
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
10201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225955
—
AZ
Enumeration date
08/15/2005
Last updated
07/08/2007
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