Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3837 | AZ |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 423 | ND |
NPI | 1215933783 |
---|---|
Provider Name | Dr. Andrew M Gorby |
First Address | Glendale, AZ 85301-2381 |
Second Address | Glendale, AZ 85301-2381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 22/10/2010 |