Gross, Clifford

Gross, Clifford is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 250 , Phoenix AZ 85013-4215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gross, Clifford can be contacted via phone (602) 406-3520.

Contact Information

Primary practice address
500 W Thomas Rd Ste 250 Phoenix AZ 85013-4215
Phone: (602) 406-3520
Fax: (602) 406-6162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006-0246 New Mexico
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 41493 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41493 Arizona

Profile Details

NPI number 1992844930
LBN Legal business name Gross, Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jan 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992844930 NPPES
Arizona MEDICAID 493384

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