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NPI Code Detail

MEDICARE: DR. STANLEY A GERING M.D.

MEDICARE: DR. STANLEY A GERING 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
1174400000XSpecialist7836AZ

General Provider Information

NPI Number : 1154324051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY A GERING M.D.
Provider Business Mailing Address
First Line : 4545 E CHANDLER BLVD
Second Line : STE 204
City : PHOENIX
State : AZ
Zip : 85048-7646
Country : US
Telephone Number : 480-893-2100
Fax Number : 480-893-2441
Provider Business Practice Location Address
First Line : 4545 E CHANDLER BLVD
Second Line : STE 204
City : PHOENIX
State : AZ
Zip : 85048-7646
Country : US
Telephone Number : 480-893-2100
Fax Number : 480-893-2441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/16/2013

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Directions to “ DR. STANLEY A GERING M.D.” Practice Location

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