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NPI Code Detail

MEDICARE: STEVEN D GURLEY M.D.

MEDICARE: STEVEN D GURLEY M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician26175AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033187950
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN D GURLEY M.D.
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 9003 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6709
Country : US
Telephone Number : 480-323-3383
Fax Number : 480-323-3358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 04/16/2015

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