Individual
DR. JOHN B GIEDRAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6305 N MOCKINGBIRD LN, PARADISE VALLEY, AZ 85253-5313
(480) 985-1093
Mailing address
PO BOX 7133, MESA, AZ 85216-7133
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224832
—
AZ
01
—
2Z0566
HEALTHNET
AZ
01
—
AZ0007450
BCBS
AZ
Enumeration date
10/04/2006
Last updated
10/10/2007
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