SUN VALLEY AFFILIATED BACK CENTER INC NPI 1215940614

NPI Information

  • NPI: 1215940614
  • Provider Name: SUN VALLEY AFFILIATED BACK CENTER INC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 1534 E RAY RD
    SUITE 103
    GILBERT, AZ
    ZIP 85296
  • Phone: (480) 963-3608

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NPI Details

SUN VALLEY AFFILIATED BACK CENTER INC is an adult health nurse practitioner in Gilbert, AZ. SUN VALLEY AFFILIATED BACK CENTER INC NPI is 1215940614. The provider is registered as an organization entity type.

The provider's business location address is:

1534 E RAY RD
SUITE 103
GILBERT, AZ
ZIP 85296-429
Phone: (480) 963-3608
Fax: (480) 855-5756

The provider's authorized official is Terry Lynn Graul .
The authorized official title is Director and has the following contact phone number (480) 963-3608.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyAP1086ARIZONANo
2363LA2200XNurse PractitionerAdult HealthAP1086ARIZONAYes

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: 11/21/2025

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