Eden, Gary W
Eden, Gary W is an individual health care provider with primary practice located at 6111 E Arbor Ave , Mesa AZ 85206-6059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eden, Gary W can be contacted via phone (480) 981-1326.Contact Information
Primary practice address
6111 E Arbor Ave
Mesa AZ 85206-6059
Phone: (480) 981-1326
Fax: (480) 981-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1795 | Arizona |
Profile Details
| NPI number | 1316903990 |
|---|---|
| LBN Legal business name | Eden, Gary W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Nov 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316903990 | NPPES |
| Arizona | MEDICAID | 274936 |
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