Organization Name: | GHI THERAPY CENTER |
NPI Number: | 1780826115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAN GIFFORD (PRESIDENT) |
Mailing Address: | 745 N Gilbert Rd Ste 104 Gilbert |
State: | AZ US |
Postal Code: | 852343383 |
Phone Number: | 4808132906 |
Fax Number: | 4808132916 |
NPI Enumeration Date: | 03/31/2009 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |