DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. GARY DEAVER BOSTON M.D.

MEDICARE: DR. GARY DEAVER BOSTON 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
1207X00000XOrthopaedic Surgery Physician0418345KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063414241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY DEAVER BOSTON M.D.
Provider Business Mailing Address
First Line : PO BOX 31001-0698
Second Line :
City : PASADENA
State : CA
Zip : 91110-0698
Country : US
Telephone Number : 602-263-1200
Fax Number : 602-200-5383
Provider Business Practice Location Address
First Line : 4212 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-5319
Country : US
Telephone Number : 602-263-1200
Fax Number : 602-200-5383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 10/21/2015

Similar Medicare Providers

1124415773 — TANYA RENEE MINAFEE NURSE PRACTITIONER
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1200
Practice Fax: 602-263-1619
1306200613 — LAUREN ASHLEY WURSTER DPM
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1200
Practice Fax: 602-263-1619
1477013480 — HANNAH J GISSEL FRAYCHINEAUD MD
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1200
Practice Fax: 602-263-1619
1184627648 — JUDY MARIE PINSONNEAULT D.O.
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1501
Practice Fax: 602-263-1547
1073515326 — MR. KAI L CHIU RPH
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1511
Practice Fax: 602-263-1619
1811993603 — MS. KAREN L ALLEN RN/CNM
Practice Location Address:
4212 N 16TH ST
PHOENIX, AZ
85016-5319
Practice Phone: 602-263-1200
Practice Fax:

Directions to “ DR. GARY DEAVER BOSTON M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.