person
Eddie Leon Gaines, MD
Allergy Physician in Anthem, Arizona
NPI 1942268156

Eddie Leon Gaines is an Allergy Physician based in Las Cruces, AZ and is specialized in Allergy. Eddie Leon Gaines practices in Anthem, AZ and has the professional credentials of MD. The NPI Number for Eddie Leon Gaines is 1942268156 and holds a License No. 94250 (Arizona).

The current practice location address for Eddie Leon Gaines is 42145 N Fairgreen Ct, Anthem, AZ and can be reached out via phone at 575-405-7697.

Location: 42145 N Fairgreen Ct, Anthem, AZ, 88011-8273
person
Provider Profile Details
NPI Number
1942268156
Provider Name
Eddie Leon Gaines
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
42145 N Fairgreen Ct, Anthem, AZ, 88011-8273
Phone Number
575-405-7697
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26189 05 NM
institution
Provider Business Practice Location Address Details
Address
42145 N Fairgreen Ct
City
State
Zip
85086-1066
Phone Number
575-405-7697
Fax Number
person
Provider Business Mailing Address Details
Address
42145 N Fairgreen Ct
City
State
Zip
85086-1066
Phone Number
575-405-7697
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
94250 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
94250 (New Mexico)
Definition
Definition to come...
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