Individual
GREGORY A MAGGASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9055 E DEL CAMINO DR, STE 200, SCOTTSDALE, AZ 85258-2351
(480) 922-4600
(480) 922-5231
Mailing address
PO BOX 3106, LOS ANGELES, CA 90078-3106
(480) 922-4600
(480) 922-5231
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17059
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270687
AHCCCS
AZ
Enumeration date
02/20/2006
Last updated
08/09/2010
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