MEDICARE: MRS. SARAH ANN GERBER M.M.S., P.A.-C

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	363AM0700X	Medical Physician Assistant	6568	AZ

General Provider Information

NPI Number	:	1689124745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ANN GERBER M.M.S., P.A.-C

Provider Business Mailing Address
First Line	:	9330 W MCDOWELL RD
Second Line	:	APT 1011
City	:	PHOENIX
State	:	AZ
Zip	:	85037-4259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 N 108TH AVE
Second Line	:	STE 142
City	:	PHOENIX
State	:	AZ
Zip	:	85037-5467
Country	:	US
Telephone Number	:	623-242-9259
Fax Number	:

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

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	10/12/2016

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Directions to “ MRS. SARAH ANN GERBER M.M.S., P.A.-C” Practice Location

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