MEDICARE: G & S MEDICAL, LLC

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	04264	AZ

General Provider Information

NPI Number	:	1033437090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G & S MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1467 W ELLIOT RD
Second Line	:	SUITE 103
City	:	GILBERT
State	:	AZ
Zip	:	85233-5167
Country	:	US
Telephone Number	:	480-755-1001
Fax Number	:	480-755-4703

Provider Business Practice Location Address
First Line	:	1467 W ELLIOT RD
Second Line	:	SUITE 103
City	:	GILBERT
State	:	AZ
Zip	:	85233-5167
Country	:	US
Telephone Number	:	480-755-1001
Fax Number	:	480-755-4703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GREGORY JAY SCHEREK
Credential	:	D.C.
Telephone Number	:	480-755-1001

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	05/13/2010

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Directions to “G & S MEDICAL, LLC ” Practice Location

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