| NPI | 1659153195 |
|---|---|
| Doing Business As | GMC HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | RANDY V. MALLARI Administrator/ Provider 602-908-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-04-03 |