Healthcare Provider Details

I. General information

NPI: 1619571320
Provider Name (Legal Business Name): GILBERT HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

754 S VAL VISTA DR STE 104
GILBERT AZ
85296-3139
US

IV. Provider business mailing address

754 S VAL VISTA DR STE 104
GILBERT AZ
85296-3139
US

V. Phone/Fax

Practice location:
  • Phone: 480-497-2900
  • Fax:
Mailing address:
  • Phone: 480-497-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREG VOGEL
Title or Position: OWNER
Credential: DC
Phone: 480-497-2900