Individual
JEREMEY WILLIAM GNECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746-9308
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164767
—
AZ
Enumeration date
04/23/2019
Last updated
10/18/2022
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