Organization Name: | CALVO NATUROPATHIC HEALTHCARE |
NPI Number: | 1013188770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER A GENTRY (OWNER, NATUROPATHIC MEDICAL DOCTOR) |
Mailing Address: | 42104 N Venture Dr Stec126 Anthem |
State: | AZ US |
Postal Code: | 850863823 |
Phone Number: | 6232515518 |
Fax Number: | 6232494748 |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 06/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 06-916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |