OrganizationActive
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NPI 1518779461 · General Practice Physician · Gilbert, AZ
Provider details
- NPI number
- 1518779461
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carlos Herrera, Manager
Practice location
920 W Breckenridge Ave
Gilbert, AZ 85233-3762
Phone: (520) 399-5671
Fax: (480) 900-8472
Mailing address
920 W Breckenridge Ave
Gilbert, AZ 85233-3762
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.