Healthcare Provider Details

I. General information

NPI: 1114351228
Provider Name (Legal Business Name): ACCURATE CARE CHIROPRACTIC & ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18261 N PIMA RD STE 115
SCOTTSDALE AZ
85255-6232
US

IV. Provider business mailing address

18261 N PIMA RD STE 115
SCOTTSDALE AZ
85255-6232
US

V. Phone/Fax

Practice location:
  • Phone: 602-493-2228
  • Fax: 602-493-2262
Mailing address:
  • Phone: 602-493-2228
  • Fax: 602-493-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5614
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEISA-MARIE M GRGULA
Title or Position: D.C.
Credential: D.C.
Phone: 602-493-2228