GONSTEAD PHYSICAL MEDICINE PC NPI 1316163751

NPI Information

GONSTEAD PHYSICAL MEDICINE 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. GONSTEAD PHYSICAL MEDICINE PC NPI is 1316163751. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gonstead Spine Institute Pc.

The provider's business location address is:

2735 W UNION HILLS DR
SUITE 102
PHOENIX, AZ
ZIP 85027-033
Phone: (602) 973-1630
Fax: (602) 973-1667

The provider's authorized official is Jose Lara .
The authorized official title is Chiropractor and has the following contact phone number (602) 973-1630.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/17/2019.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.