MEDICARE: GOLDBERG CHIROPRACTIC CORP.

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	883	AZ

General Provider Information

NPI Number	:	1962675843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDBERG CHIROPRACTIC CORP.

Provider Business Mailing Address
First Line	:	PO BOX 14567
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85063-4567
Country	:	US
Telephone Number	:	602-253-8888
Fax Number	:	602-252-0845

Provider Business Practice Location Address
First Line	:	5901 W INDIAN SCHOOL RD
Second Line	:	SUITE NUMBER 1
City	:	PHOENIX
State	:	AZ
Zip	:	85033-2824
Country	:	US
Telephone Number	:	602-253-8888
Fax Number	:	602-252-0845

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARTHUR DENNIS GOLDBERG
Credential	:	D.C.
Telephone Number	:	602-989-6789

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	06/25/2015

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Directions to “GOLDBERG CHIROPRACTIC CORP. ” Practice Location

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