Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN GROSH
ActiveGAVIN GROSH is a Sports Medicine (PM&R) healthcare provider located in SURPRISE, Arizona. NPI 1306333182 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SURPRISE, AZ
Registration Details
- NPI Number
- 1306333182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2018 (8.319947985678 yrs)
- Last Updated
- Apr 17, 2018
- License
-
1588 (AZ)
Practice Information
- Address
-
15946 N BULLARD AVESURPRISE, AZ, 853748844Browse AZ providers · Browse ZIP 85374
- Phone
- 8163825753
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| DAVID IANNICCA | ATC | 1245455666 |
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.