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Individual

MS. LARISSA GREBENCHTCHIKOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Mailing address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
003161
NY
207L00000X
Anesthesiology Physician
100498
WI
207L00000X
Anesthesiology Physician
Primary
43833
AZ
207L00000X
Anesthesiology Physician
C169056
CA
207L00000X
Anesthesiology Physician
DR.0076648
CO
208VP0000X
Pain Medicine Physician
003161
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100230616
WI
Enumeration date
07/22/2008
Last updated
02/17/2026
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