Provider Demographics
NPI:1013465863
Name:ALL AROUND ADJUSTMENT & OSTEOPATHIC MANIPULATION PC
Entity Type:Organization
Organization Name:ALL AROUND ADJUSTMENT & OSTEOPATHIC MANIPULATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GESHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-595-3341
Mailing Address - Street 1:4344 WEST BELL ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3589
Mailing Address - Country:US
Mailing Address - Phone:602-595-3341
Mailing Address - Fax:602-595-1142
Practice Address - Street 1:4344 W BELL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3589
Practice Address - Country:US
Practice Address - Phone:602-595-3341
Practice Address - Fax:602-535-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4517261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ153122OtherMEDICARE PTAN