Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY BRADLEY LAKE, MD
ActiveGARY BRADLEY LAKE, MD is a Internal Medicine healthcare provider located in TUBA CITY, Arizona. NPI 1679518708 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · TUBA CITY, AZ
Registration Details
- NPI Number
- 1679518708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (20.141241076529 yrs)
- Last Updated
- Jul 8, 2007
- License
-
29509 (AZ)
Practice Information
- Address
-
167 NORTH MAIN STREETTUBA CITY, AZ, 860450600Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832501
- Fax
- 9282832677
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in TUBA CITY, AZ
| Name | Credential | NPI |
|---|---|---|
| DAVID J LANG | MD | 1932142189 |
| BERNICE Q. LY | MD | 1326082462 |
| DR. FRANK ECKHARD DALICHOW | MD | 1194769315 |
| DR. JOSEPH ALAN MAGEE | MD | 1811931033 |
| HENRY JOHN LEONARD VAN DYK | MD | 1093751125 |
| PETER T KIM | MD | 1770510984 |
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.