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Individual

LOUIS G GRECO

Active
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Individual

LOUIS G GRECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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