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NPI Code Detail

MEDICARE: AFC PHYSICAL MEDICINE OF GILBERT, PLLC

MEDICARE: AFC PHYSICAL MEDICINE OF GILBERT, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies7034950001AZ
2208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1528345881
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFC PHYSICAL MEDICINE OF GILBERT, PLLC
Provider Business Mailing Address
First Line : 1839 S ALMA SCHOOL RD STE 354
Second Line :
City : MESA
State : AZ
Zip : 85210-3028
Country : US
Telephone Number : 480-726-2287
Fax Number : 888-316-9272
Provider Business Practice Location Address
First Line : 3011 S LINDSAY RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85295-4333
Country : US
Telephone Number : 480-726-2500
Fax Number : 480-726-2131
Authorized Official
Title or Position : MANAGING MEMBER
Name : JOSHUA F. BOCK
Credential :
Telephone Number : 480-726-2287
Provider Enumeration Date : 11/14/2011
Last Update Date : 12/08/2017

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Directions to “AFC PHYSICAL MEDICINE OF GILBERT, PLLC ” Practice Location

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