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NPI Code Detail

MEDICARE: MARK V. GREGG D.C., P.C.

MEDICARE: MARK V. GREGG D.C., P.C.
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1053584615
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK V. GREGG D.C., P.C.
Provider Business Mailing Address
First Line : 2303 N 44TH ST
Second Line : SUITE 15
City : PHOENIX
State : AZ
Zip : 85008-2442
Country : US
Telephone Number : 602-840-3351
Fax Number : 602-354-3350
Provider Business Practice Location Address
First Line : 2303 N 44TH ST
Second Line : SUITE 15
City : PHOENIX
State : AZ
Zip : 85008-2442
Country : US
Telephone Number : 602-840-3351
Fax Number : 602-354-3350
Authorized Official
Title or Position : OWNER
Name : DR. MARK VICTOR GREGG
Credential : D.C.
Telephone Number : 602-840-3351
Provider Enumeration Date : 04/03/2008
Last Update Date : 04/03/2008

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Directions to “MARK V. GREGG D.C., P.C. ” Practice Location

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