Gary L Mort, DO Valid NPI
Individual provider · Internal Medicine Physician · Peoria, AZ
- NPI
- 1477554608
- Type
- Individual (Type 1)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- License number
- 1397 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-10
- Last updated
- 2007-07-08
Practice location
13090 N 94th Dr, Ste 210
Peoria, AZ 85381-4256
(623) 972-6700