| Donnelly Chiropractic & Associates Pllc | |
|
121 W Florence Blvd, Suite J, Casa Grande, AZ 85122-4089 | |
| (520) 709-1937 | |
| Not Available |
| Full Name | Donnelly Chiropractic & Associates Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 121 W Florence Blvd, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952550717 | NPI | - | NPPES |
| 1295914372 | Other | AZ | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7865 (Arizona) | Primary |
| Provider Name | Gregory John Donnelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295914372 PECOS PAC ID: 1759443278 Enrollment ID: I20081217000500 |
| Provider Name | Lori A Soteros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356745103 PECOS PAC ID: 5294060349 Enrollment ID: I20190711000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Donnelly Chiropractic & Associates Pllc 121 W Florence Blvd, Suite J, Casa Grande, AZ 85122-4089 Ph: (520) 709-1937 | Donnelly Chiropractic & Associates Pllc 121 W Florence Blvd, Suite J, Casa Grande, AZ 85122-4089 Ph: (520) 709-1937 |
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