Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 554 | AZ |
N | 175F00000X | Naturopath | 64191 | AZ |
NPI | 1114001930 |
---|---|
Provider Name | Robert L Gear |
First Address | Phoenix, AZ 85014 |
Second Address | Phoenix, AZ 85014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T76894 | (02) |