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Organization
JD GROSS MEDICAL CORPORATION
Active
Organization
JD GROSS MEDICAL CORPORATION
Active
Other names
Arizona Medical Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. GROSS M.D. (PRESIDENT)
(714) 378-1100
Entity
Organization
Contact information
Practice address
2418 E DANBURY RD, PHOENIX, AZ 85032-2425
(714) 378-1100
(714) 378-1150
Mailing address
2701 HARBOR BLVD, BLDG #E2, SUITE 214, COSTA MESA, CA 92626-5153
(714) 378-1100
(714) 378-1150
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G79394
CA
207X00000X
Orthopaedic Surgery Physician
20A9441
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A9441
CA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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