Optimal Spine & Health Center Inc | |
5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 | |
(480) 688-4006 | |
Not Available |
Full Name | Optimal Spine & Health Center Inc |
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Speciality | Physical Medicine & Rehabilitation |
Location | 5656 S Power Rd Ste 132, Gilbert, Arizona |
Authorized Official Name and Position | Kevin Fox (PRESIDENT) |
Authorized Official Contact | 4809850040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimal Spine & Health Center Inc 5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 Ph: () - | Optimal Spine & Health Center Inc 5656 S Power Rd Ste 132 Gilbert AZ 85295-8490 Ph: (480) 688-4006 |
NPI Number | 1386835965 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 11/12/2018 |
Medicare PECOS PAC ID | 2466487392 |
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Medicare Enrollment ID | O20050929000553 |
Identifier | Type | State | Issuer |
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1386835965 | NPI | - | NPPES |
Provider Name | Kevin A Fox |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972562783 PECOS PAC ID: 0446285373 Enrollment ID: I20050930000158 |
Provider Name | Joel E Braun |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1144457110 PECOS PAC ID: 9436204187 Enrollment ID: I20090901000272 |
Provider Name | Daniel Gallegos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992955363 PECOS PAC ID: 4587701461 Enrollment ID: I20091026000518 |
Provider Name | Shaun Hampton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093261497 PECOS PAC ID: 3678858644 Enrollment ID: I20170315000379 |
Provider Name | Boris Boguslavskiy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689075509 PECOS PAC ID: 7719208602 Enrollment ID: I20190607000687 |
Provider Name | Thomas John Hulm |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083247852 PECOS PAC ID: 8022411032 Enrollment ID: I20210728003883 |
Provider Name | Eric Dallman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467159491 PECOS PAC ID: 9830547421 Enrollment ID: I20231120002811 |
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