Provider Demographics
NPI:1053309245
Name:GILBERT J. TOFFOL, D.O., PLLC
Entity Type:Organization
Organization Name:GILBERT J. TOFFOL, D.O., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOFFOL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-834-9575
Mailing Address - Street 1:1134 E UNIVERSITY DR
Mailing Address - Street 2:STE 114
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8027
Mailing Address - Country:US
Mailing Address - Phone:480-834-9575
Mailing Address - Fax:480-834-4497
Practice Address - Street 1:1134 E UNIVERSITY DR
Practice Address - Street 2:STE 114
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8027
Practice Address - Country:US
Practice Address - Phone:480-834-9575
Practice Address - Fax:480-834-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ76047Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER