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GC GROVER BS DC PC NPI 1306850953


NPI Information

NPI: 1306850953
Provider Name: GC GROVER BS DC PC

Other Name: MOON VALLEY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
15420 NORTH 7TH ST
SUITE B
PHOENIX, AZ
ZIP 85022
Phone: (602) 298-0292
Get Directions

GC GROVER BS DC PC is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GC GROVER BS DC PC NPI is 1306850953. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Moon Valley Chiropractic.

The provider's business location address is:

15420 NORTH 7TH ST
SUITE B
PHOENIX, AZ
ZIP 85022
Phone: (602) 298-0292
Fax: (602) 298-6961

The provider's authorized official is Gary Grover .
The authorized official title is President and has the following contact phone number (602) 298-0292.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor3782ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0249810OTHERARIZONABCBS OF AZ PROVIDER #
2T41671MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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