Individual
LOUIS G GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 S 63RD ST STE 6, MESA, AZ 85206-1605
(480) 981-9234
(480) 981-3038
Mailing address
55 S 63RD ST STE 6, MESA, AZ 85206-1605
(480) 981-9234
(480) 981-3038
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12145
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110086203
RAILROAD PROV NUMBER
AZ
05
—
224494
—
AZ
01
—
AZ0038380
BCBS AZ PROVIDER NUMBER
AZ
01
—
AZ5313
HEALTHNET PROV NUMBER
AZ
Enumeration date
08/05/2006
Last updated
05/10/2010
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