Mort, Gary L
Mort, Gary L is an individual health care provider with primary practice located at 13090 N 94Th Dr Ste 210, Peoria AZ 85381-4256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mort, Gary L can be contacted via phone (623) 972-6700.Contact Information
Primary practice address
13090 N 94Th Dr Ste 210
Peoria AZ 85381-4256
Phone: (623) 972-6700
Fax: (623) 972-4457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1397 | Arizona |
Profile Details
| NPI number | 1477554608 |
|---|---|
| LBN Legal business name | Mort, Gary L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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