Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD CRAIG GODARD, DC
Deactivated Sole ProprietorDR. GERALD CRAIG GODARD, DC is a Nutrition (Chiropractor) healthcare provider located in MESA, Arizona. NPI 1194727396 is deactivated in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · MESA, AZ
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1194727396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (0.8 yrs)
- Last Updated
- Mar 30, 2012
- Deactivated
- Mar 20, 2006
- License
-
5851 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2812 N NORWALKSUITE 122MESA, AZ, 852151148Browse AZ providers · Browse ZIP 85215
- Phone
- 4808447900
- Fax
- 4806994281
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Other Nutrition (Chiropractor) Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. LAUREEN D PAVTIS | DC | 1831104272 |
| DR. GARY LYNN BURK | D.C. | 1407098064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.