MEDICARE: DR. GREGORY JON MARQUISSEE D.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
1	111N00000X	Chiropractor	5946	AZ

General Provider Information

NPI Number	:	1942300850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY JON MARQUISSEE D.C.

Provider Business Mailing Address
First Line	:	5425 E BELL RD
Second Line	:	SUITE150
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6007
Country	:	US
Telephone Number	:	602-404-7557
Fax Number	:	602-493-2526

Provider Business Practice Location Address
First Line	:	7500 E DEER VALLEY RD
Second Line	:	150
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4814
Country	:	US
Telephone Number	:	480-502-6985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. GREGORY JON MARQUISSEE D.C.” Practice Location

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