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NPI Code Detail

MEDICARE: GILBERT SPRING CHIROPRACTIC AND REHAB, LLC

MEDICARE: GILBERT SPRING CHIROPRACTIC AND REHAB, 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
1111N00000XChiropractor

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z137589OTHERAZMEDICARE PTAN

General Provider Information

NPI Number : 1316196454
Entity Type Code : Organization
Provider Name (Legal Business Name) : GILBERT SPRING CHIROPRACTIC AND REHAB, LLC
Provider Business Mailing Address
First Line : 1839 S ALMA SCHOOL RD
Second Line : SUITE 354
City : MESA
State : AZ
Zip : 85210-3023
Country : US
Telephone Number : 480-726-2287
Fax Number :
Provider Business Practice Location Address
First Line : 3011 S LINDSAY RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85295-4333
Country : US
Telephone Number : 480-726-2287
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JOSH BOCK
Credential : DC
Telephone Number : 480-726-2500
Provider Enumeration Date : 09/12/2008
Last Update Date : 06/20/2012

Similar Medicare Providers

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3011 S LINDSAY RD STE 101
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85295-4333
Practice Phone: 480-726-2500
Practice Fax: 480-726-2131
1932196367 — DR. KEVIN RAY WALL DC
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1972521649 — DR. DAMIAN SEAN SCELFO D.C.
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Practice Fax: 480-726-2131
1659576155 — DR. RYAN JOSEPH SCULLEY D.C.
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Practice Fax: 480-726-2131
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Practice Location Address:
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1528345881 — AFC PHYSICAL MEDICINE OF GILBERT, PLLC
Practice Location Address:
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Practice Fax: 480-726-2131

Directions to “GILBERT SPRING CHIROPRACTIC AND REHAB, LLC ” Practice Location

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