Gary W Eden Do

LBN: Gary W Eden Do
Gary W Eden Do is an health care organization with primary practice located at 5440 E Southern Ave Suite 105, Mesa AZ 85206-2779. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Gary W Eden Do can be contacted via phone (480) 644-0424, or through Eden, Gary W via phone (480) 644-0424.

Contact Information

Primary practice address
5440 E Southern Ave Suite 105 Mesa AZ 85206-2779
Phone: (480) 644-0424
Fax: (480) 644-0926
Website:
Map and Directions
Authorized official contact:
Name: Eden, Gary W Doctor of Osteopathy (DO)
Phone: (480) 644-0424

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1795 Arizona

Profile Details

NPI number 1134265226
LBN Legal business name Gary W Eden Do
DBA Doing business as
Authorized official Eden, Gary W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 21st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134265226 NPPES
Arizona MEDICAID 274936

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