| Arizona Sun Chiropractic & Rehab | |
|
633 E Ray Rd Ste 110 Gilbert AZ 85296-4202 | |
| (480) 222-6059 | |
| (480) 664-2093 |
| Full Name | Arizona Sun Chiropractic & Rehab |
|---|---|
| Speciality | Clinic/Center |
| Location | 633 E Ray Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Brian R Wright (OWNER) |
| Authorized Official Contact | 4802226059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Sun Chiropractic & Rehab 633 E Ray Rd Ste 110 Gilbert AZ 85296-4202 Ph: (480) 222-6059 | Arizona Sun Chiropractic & Rehab 633 E Ray Rd Ste 110 Gilbert AZ 85296-4202 Ph: (480) 222-6059 |
| NPI Number | 1396924551 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 01/16/2009 |
| Medicare PECOS PAC ID | 6800985623 |
|---|---|
| Medicare Enrollment ID | O20071203000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396924551 | NPI | - | NPPES |
| 4012 | Other | AZ | PHYSIOTHERAPY CERTIFICATE |
| 7327 | Other | AZ | CHIROPRACTIC LICENSE |
| AZ0942090 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 7327 (Arizona) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | 4012 (Arizona) | Secondary |
| Provider Name | Brian R Wright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013985415 PECOS PAC ID: 8729038724 Enrollment ID: I20050127000475 |
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