Organization
DONALD JAMES GRECO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAMES GRECO MD (PRESIDENT)
(414) 712-8600
Entity
Organization
Contact information
Practice address
47647 CALEO BAY DR, SUITE 200, LA QUINTA, CA 92253-8854
(760) 777-8282
(760) 771-9085
Mailing address
79405 HIGHWAY 111, SUITE 9-476, LA QUINTA, CA 92253-8300
(414) 712-8600
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
A116326
CA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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