Bfg Medical Group LLC
General Practice in Gilbert, AZ. Organization (NPI-2).
NPI number1982172706
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1982172706
- Entity type
- Organization (NPI-2)
- Legal business name
- Bfg Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2018
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
754 S Val Vista Dr Ste 105Gilbert, AZ 85296-3139
Phone 480-497-2900
Mailing address
754 S Val Vista Dr Ste 105Gilbert, AZ 85296-3139
Phone 480-497-2900
Authorized official
Greg Vogel
Owner
4804972900
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