# SUN VALLEY AFFILIATED BACK CENTER INC

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

## Provider details

- **NPI number:** 1215940614
- **Authorized official:** MS. TERRY LYNN GRAUL NP-C (DIRECTOR)
- **Authorized official phone:** (480) 963-3608

## Contact information

- **Practice address:** 1534 E RAY RD, SUITE 103, GILBERT, AZ 85296-4429
- **Practice address phone:** (480) 963-3608
- **Practice address fax:** (480) 855-5756
- **Mailing address:** 2934 E HALE ST, MESA, AZ 85213-5592
- **Mailing address phone:** (602) 769-4982
- **Mailing address fax:** (480) 855-5756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | AP1086 | AZ | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP1086 | AZ | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/11/2025