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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY A ERTL, MD

Deactivated Sole Proprietor

Specialist · YUMA, AZ

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1427051184
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (0.81369863013699 yrs)
Last Updated
Nov 30, 2016
Deactivated
Mar 17, 2006
License
19732 (AZ)
Sole Proprietor
Yes

Practice Information

Address
350 W CATALINA DR
YUMA, AZ, 853648112
Browse AZ providers · Browse ZIP 85364
Phone
9283440650
Fax
9283443928
Primary Specialty
Specialist
174400000X

Other Specialist Providers in YUMA, AZ

Name Credential NPI
DR. ALAN R HOROWITCH M.D. 1629069117
GREGORY L. PEARE M.D. 1215918883
STEVEN DOUGLAS KURTZ D.P.T. 1922076751
ENGIDA B ALEMU MD 1710916705
DR. MAHER MARK AWAR M.D. 1124052154
DR. DAVID B MEYER MD 1073626560
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.