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1063414241
GARY DEAVER BOSTON
PHOENIX, AZ
NPI
1063414241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KS 0418345)
Enumeration Date
2005-06-01
Last Update Date
2015-10-21
Business Address
Dr. GARY DEAVER BOSTON M.D.
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
Dr. GARY DEAVER BOSTON M.D.
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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