Organization Name: | GORDON E GENTA, M.D. P.C. |
NPI Number: | 1457386013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GORDON E GENTA (OWNER) |
Mailing Address: | 2600 E Southern Ave Ste J2 Tempe |
State: | AZ US |
Postal Code: | 852827742 |
Phone Number: | 4808393621 |
Fax Number: | 4808203309 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |