# GODARD CHIROPRACTIC

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

## Provider details

- **NPI number:** 1720612021
- **Authorized official:** DR. GERALD CRAIG GODARD DC (OWNER)
- **Authorized official phone:** (480) 695-0665

## Contact information

- **Practice address:** 2812 N NORWALK STE 122, MESA, AZ 85215-1149
- **Practice address phone:** (480) 844-7900
- **Practice address fax:** (480) 699-4281
- **Mailing address:** 2812 N NORWALK STE 122, MESA, AZ 85215-1149
- **Mailing address phone:** (480) 844-7900
- **Mailing address fax:** (480) 699-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 04/01/2020