Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 49696 | AZ |
NPI | 1942449558 |
---|---|
Provider Name | Dr. Anthony Gaddi |
First Address | Tucson, AZ 85712-6118 |
Second Address | Tucson, AZ 85710-2158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 05/06/2020 |