| Gonstead Family Chiropractic | |
|
80150 Us Highway 111, Suite C5, Indio, CA 92201-8359 | |
| (760) 863-0435 | |
| (760) 863-0436 |
| Full Name | Gonstead Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 80150 Us Highway 111, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629297221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC29077 (California) | Primary |
| Provider Name | Jeremy W Moffitt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942362728 PECOS PAC ID: 5799743464 Enrollment ID: I20041228000550 |
| Provider Name | Eric M Davenport |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396796785 PECOS PAC ID: 3476565615 Enrollment ID: I20110524000567 |
| Provider Name | Ricardo Valdivia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760792279 PECOS PAC ID: 4587829668 Enrollment ID: I20120625000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Gonstead Family Chiropractic 80150 Us Highway 111, Ste C5, Indio, CA 92201-8359 Ph: (760) 863-0435 | Gonstead Family Chiropractic 80150 Us Highway 111, Suite C5, Indio, CA 92201-8359 Ph: (760) 863-0435 |
Dawson Chiropractic Corp Chiropractor Medicare: Medicare Enrolled Practice Location: 82013 Dr Carreon Blvd, B, Indio, CA 92201 Phone: 760-775-6966 Fax: 760-342-6882 | |
Lorraine Ann Provenzano, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 81709 Doctor Carreon Blvd Ste A5, Indio, CA 92201 Phone: 760-342-2264 Fax: 760-342-4370 | |
Dr. Michael H Dawson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 82013 Doctor Carreon Blvd, Suite B, Indio, CA 92201 Phone: 760-775-6966 Fax: 760-342-6882 | |
Dr. Marco Antonio Cazares, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 81-480 Avenue 46. Suite 102, Indio, CA 92220 Phone: 760-863-5955 Fax: 760-863-5655 | |
Stuart Alden Greenwood, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 81557 Dr Carreon Blvd, Suite B-5, Indio, CA 92201 Phone: 760-347-4554 Fax: 760-347-1623 | |
Dr. Eric Michael Davenport, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 80150 Us Highway 111, Suite C5, Indio, CA 92201 Phone: 760-863-0435 Fax: 760-863-0436 | |
Integreted Health Care Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 81557 Doctor Carreon Blvd, Suite B5, Indio, CA 92201 Phone: 760-347-4554 Fax: 760-347-1623 |