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NPI Code Detail

MEDICARE: DR. MARK GERARD ALMANZA DC

MEDICARE:  DR. MARK GERARD ALMANZA  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
1111NR0400XRehabilitation Chiropractor7561AZ
2111N00000XChiropractor8237AZ

General Provider Information

NPI Number : 1023505096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK GERARD ALMANZA DC
Provider Business Mailing Address
First Line : 2040 E BELL RD STE 140
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-2937
Country : US
Telephone Number : 602-788-3159
Fax Number :
Provider Business Practice Location Address
First Line : 4222 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-6008
Country : US
Telephone Number : 602-230-2225
Fax Number : 602-266-4022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 03/06/2026

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Directions to “ DR. MARK GERARD ALMANZA DC” Practice Location

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