Organization
JCL GASTROENTEROLOGY, LLC
Active
Other names
North Valley Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R. GROVER (SENIOR VICE PRESIDENT)
(602) 216-6680
Entity
Organization
Contact information
Practice address
9237 N. 3RD STREET, SUITE 202, PHOENIX, AZ 85020-0000
(623) 580-5390
(623) 580-5397
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(623) 580-5390
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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