| Grossman & Grossman, Ltd. | |
|
3420 S Mercy Rd Ste 109 Gilbert AZ 85297-0420 | |
| (602) 468-2077 | |
| Not Available |
| Full Name | Grossman & Grossman, Ltd. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3420 S Mercy Rd Ste 109, Gilbert, Arizona |
| Authorized Official Name and Position | Phyllis A Grossman (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 6024106635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grossman & Grossman, Ltd. Po Box 14948 Scottsdale AZ 85267-4948 Ph: (602) 468-2077 | Grossman & Grossman, Ltd. 3420 S Mercy Rd Ste 109 Gilbert AZ 85297-0420 Ph: (602) 468-2077 |
| NPI Number | 1851711840 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 3476718057 |
|---|---|
| Medicare Enrollment ID | O20120705000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851711840 | NPI | - | NPPES |
| 913430 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC5871 (Arizona) | Primary |
| Provider Name | Ann M Guthery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902897168 PECOS PAC ID: 4789720228 Enrollment ID: I20091014000082 |
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