Individual
DR. MARK LOUIS GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
585 TWIN FAWNS DR, FRONTENAC, MO 63131-4717
(602) 561-0367
Mailing address
585 TWIN FAWNS DR, FRONTENAC, MO 63131-4717
(602) 561-0367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21921
AZ
208000000X
Pediatrics Physician
Primary
R7G09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200260860
—
IN
05
—
418677
—
AZ
Enumeration date
07/21/2005
Last updated
04/20/2026
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