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Individual

GAIL D GUERRERO-TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 428-1377
(928) 348-8570
Mailing address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 428-1377
(928) 348-8570

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33940
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942947
AZ
01
AZ0198200
BCBS PROVIDER ID
AS
Enumeration date
07/10/2006
Last updated
08/31/2011
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