Gross, David
Gross, David is an individual health care provider with primary practice located at 483 W Seed Farm Rd , Sacaton AZ 85147-0038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gross, David can be contacted via phone (602) 528-1200.Contact Information
Primary practice address
483 W Seed Farm Rd
Sacaton AZ 85147-0038
Phone: (602) 528-1200
Fax: (602) 528-1255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32602 | Arizona |
Profile Details
| NPI number | 1861470742 |
|---|---|
| LBN Legal business name | Gross, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Nov 21st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861470742 | NPPES |
| Arizona | MEDICAID | 891897 |
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