Individual
DAVID GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891897
—
AZ
Enumeration date
01/02/2006
Last updated
11/21/2013
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