Individual
DAVID A GROSSBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.T.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
300 W CLARENDON AVE, SUITE 142, PHOENIX, AZ 85013-3420
(602) 234-1803
(602) 234-3748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44436
AZ
225100000X
Physical Therapist
5561
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650026148
RAILROAD MEDICARE
AZ
05
—
747313
—
AZ
01
—
86080015085259C305
TRIWEST
AZ
Enumeration date
11/21/2005
Last updated
04/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us