MEDICARE: GAIL P. THURMAN LICENSED ACUPUNCTURI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0518	AZ
2	171100000X	Acupuncturist	1518	FL

General Provider Information

NPI Number	:	1003026576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL P. THURMAN LICENSED ACUPUNCTURI

Provider Business Mailing Address
First Line	:	1730 W ROSE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2042
Country	:	US
Telephone Number	:	602-955-4321
Fax Number	:	602-955-4242

Provider Business Practice Location Address
First Line	:	10220 W BELL RD
Second Line	:	SUITE 111
City	:	SUN CITY
State	:	AZ
Zip	:	85351-1177
Country	:	US
Telephone Number	:	623-974-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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