Gary W Eden Do

NPI #1134265226 in Mesa, Arizona

Provider Information

NPI Number: 1134265226
Entity Type: Organization
Organization Name: Gary W Eden Do
Primary Specialty: Surgery
Enumeration Date: Jan 29, 2007
Last Updated: Sep 21, 2009

Practice Location

Address: 5440 E SOUTHERN AVE
Address 2: SUITE 105
City: Mesa
State: Arizona
ZIP Code: 85206-2779
Phone: (480) 644-0424

Authorized Official

Name: DR. GARY W EDEN, D.O
Title: OWNER
Phone: (480) 644-0424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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