MEDICARE: DR. GAYL HYDE ND

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	175F00000X	Naturopath	ND406	CA
2	175F00000X	Naturopath	10-1197	AZ

General Provider Information

NPI Number	:	1871811232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAYL HYDE ND

Provider Business Mailing Address
First Line	:	4750 N CENTRAL AVE UNIT 10P
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1729
Country	:	US
Telephone Number	:	760-840-7069
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 N CENTRAL AVE UNIT 10P
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1729
Country	:	US
Telephone Number	:	760-840-7069
Fax Number	:

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

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	07/15/2024

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