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1730244781

NPI Code Detail

MEDICARE: DR. DENVER GKS SASSER DC

MEDICARE: DR. DENVER GKS SASSER DC

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
1	111N00000X	Chiropractor	08002221A	IN
2	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	2192	AZ
3	111N00000X	Chiropractor	8257	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000386434	OTHER	IN	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730244781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENVER GKS SASSER DC

Provider Business Mailing Address
First Line	:	1498 E OAK RD
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85140-3191
Country	:	US
Telephone Number	:	480-341-7820
Fax Number	:

Provider Business Practice Location Address
First Line	:	8655 E VIA DE VENTURA STE E160
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3395
Country	:	US
Telephone Number	:	480-596-1686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/31/2022

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Directions to “ DR. DENVER GKS SASSER DC” Practice Location

Language	Start Address	Practice Location

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