DR BEREKET A GUANGUL
Osteopathic Medicine at Plaza Del Rio Blvd, Peoria, AZ

License number
Arizona 43772
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: BEREKET A GUANGUL MD
Title: SOLE MEMBER
Phone: (510) 823-9684
Address
Address
13216 N Plaza Del Rio Blvd, Peoria, AZ 85381
National Provider ID: 1871848341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR BEREKET A GUANGUL at bizstanding.com

DR. BEREKET A. GUANGUL, LLC

14109 N 83 Ave STE 378, Peoria, AZ 85381

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
Latest date to dissolve
Registration:
Jun 23, 2011
Inactive since:
Dec 31, 2041
State ID:
L-1689557-8
Member, Medical Doctor:
Bereket A Guangul (Member, Medical Doctor), 14109 N 83 Ave STE 378, Peoria, AZ 85381 (Physical)

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