Grossman, Alan M.

Grossman, Alan M. is an individual health care provider with primary practice located at 6116 E Arbor Ave Suite 112, Mesa AZ 85206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Grossman, Alan M. can be contacted via phone (480) 641-5400.

Contact Information

Primary practice address
6116 E Arbor Ave Suite 112 Mesa AZ 85206
Fax: (480) 218-4353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35584 Arizona

Profile Details

NPI number 1699770289
LBN Legal business name Grossman, Alan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 29th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699770289 NPPES
Arizona MEDICAID 105479

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