# GIGI HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194146993
- **Authorized official:** DR. JEREMY BUCKNER DC (CEO)
- **Authorized official phone:** (480) 897-3300

## Contact information

- **Practice address:** 10046 N METRO PKWY W, SUITE 115, PHOENIX, AZ 85051-1437
- **Practice address phone:** (602) 674-5515
- **Practice address fax:** (602) 674-3029
- **Mailing address:** 1001 E WARNER RD, STE 107, TEMPE, AZ 85284-3224
- **Mailing address phone:** (480) 897-3300
- **Mailing address fax:** (480) 897-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | AZ | Yes |
| 363LF0000X | Family Nurse Practitioner | — | AZ | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | AZ | — |

## Other

- **Enumeration date:** 12/20/2013
- **Last updated:** 12/20/2013