Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Beverly Lytle Gervais, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235508904

Dr. Charles Beverly Lytle Gervais, MD is a Student in an Organized Health Care Education/Training Program in Scottsdale, Arizona. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235508904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESSeptember 23, 2015

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