Grant Andres, DC

Individual provider Active NPI Chiropractor · Fountain Hills, AZ

NPI 1831606649 · NPPES record last updated Jan 2, 2018

Key facts

NPI
1831606649
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
8062 (AZ)
Practice address
17100 E Shea Blvd Ste 320
Fountain Hills, AZ 85268-6654
Phone
(480) 816-8300
NPI assigned
Jan 2, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8062 AZ Yes

Addresses

Primary practice location

17100 E Shea Blvd Ste 320
Fountain Hills, AZ 85268-6654

Mailing address

17100 E Shea Blvd Ste 320
Fountain Hills, AZ 85268-6654

Other providers in Fountain Hills, AZ

All providers in Fountain Hills, AZ · Chiropractor in Arizona

Sources for this page

Verify at the official NPI Registry.