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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