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Organization

GILBERT PT, LLC

Active
Other names
Pain Associates of Gilbert
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M EBY (OWNER)
(602) 679-7676
Entity
Organization

Contact information

Practice address
610 N GILBERT RD, SUITE 309, GILBERT, AZ 85234-4502
(480) 926-1111
(480) 926-2958
Mailing address
3004 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6904
(480) 990-7676
(480) 990-8222

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7280
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
27848
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3957
AZ

Other

Enumeration date
12/21/2010
Last updated
08/19/2011
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