Mandile, Gary Frederick

Mandile, Gary Frederick is an sole proprietor health care provider with primary practice located at 5801 S Mcclintock Dr Suite 110, Tempe AZ 85283-6002. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Mandile, Gary Frederick can be contacted via phone (480) 777-0607.

Contact Information

Primary practice address
5801 S Mcclintock Dr Suite 110 Tempe AZ 85283-6002
Phone: (480) 777-0607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1225252018
LBN Legal business name Mandile, Gary Frederick
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Apr 7th, 2010 - about 15 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.

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