Mark Raymond Gruesbeck in Mesa - Athletic Trainer
Mark Raymond Gruesbeck - NPI 1619032380
Mark Raymond Gruesbeck is a Athletic Trainer in Mesa, Arizona. Mark Raymond Gruesbeck practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mark Raymond Gruesbeck is 1619032380. The last update date is 2007-07-08.
Mark Raymond Gruesbeck's current location address is 8829 E Fairbrook St, Mesa, Arizona. You can contact this provider via phone number 4809864620. The mailing address for Mark Raymond Gruesbeck is 8829 E Fairbrook St, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Raymond Gruesbeck |
|---|---|
| Address | 8829 E Fairbrook St, Mesa, Arizona |
| Phone Number | 4809864620 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1619032380 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8829 E Fairbrook St |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852075117 |
| Phone Number | 4809864620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 660 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Mark Raymond Gruesbeck by the Centers for Medicare & Medicaid Services?
The Mark Raymond Gruesbeck has been assigned the NPI (National Provider Identifier) 1619032380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Raymond Gruesbeck is physically located?
The Mark Raymond Gruesbeck is physically situated at the following address: 8829 E Fairbrook St, Mesa, AZ, 852075117.
What is Mark Raymond Gruesbeck's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Raymond Gruesbeck is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did Mark Raymond Gruesbeck receive its 1619032380 assignment from the Centers for Medicare & Medicaid Services?
The Mark Raymond Gruesbeck was assigned its 1619032380 on 2006-12-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Raymond Gruesbeck most recently updated?
The details pertaining to the Mark Raymond Gruesbeck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY