MEDICARE: DR. GARTH GEMAR 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
1	207P00000X	Emergency Medicine Physician	16821	AZ

General Provider Information

NPI Number	:	1295767457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARTH GEMAR M.D.

Provider Business Mailing Address
First Line	:	7250 N 16TH ST STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5214
Country	:	US
Telephone Number	:	630-472-8800
Fax Number	:	623-208-7404

Provider Business Practice Location Address
First Line	:	7250 N 16TH ST STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5214
Country	:	US
Telephone Number	:	630-472-8800
Fax Number	:	623-208-7404

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	05/05/2020

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