Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 3144 | AZ |
NPI | 1063570109 |
---|---|
Provider Name | Patricia Elise Gabriel |
First Address | Yuma, AZ 85364-6931 |
Second Address | Yuma, AZ 85364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 27/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G05563 | (02) |