Gonstead Physical Medicine PC

NPI #1316163751 in Phoenix, Arizona

Provider Information

NPI Number: 1316163751
Entity Type: Organization
Organization Name: Gonstead Physical Medicine PC
Primary Specialty: Chiropractor
Enumeration Date: Apr 17, 2007
Last Updated: Jun 17, 2019

Practice Location

Address: 2735 W UNION HILLS DR
Address 2: SUITE 102
City: Phoenix
State: Arizona
ZIP Code: 85027-5033
Phone: (602) 973-1630

Authorized Official

Name: DR. JOSE LARA
Title: CHIROPRACTOR
Phone: (602) 973-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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