Individual
MARK A GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15830 N 35TH AVE, PHOENIX, AZ 85053-7640
(602) 298-1188
(602) 866-0810
Mailing address
15830 N 35TH AVE, PHOENIX, AZ 85053-7640
(602) 298-1188
(602) 866-0810
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZD02827
PTAN
—
Enumeration date
10/25/2005
Last updated
06/25/2010
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