Individual
JEFFREY M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763905
—
AZ
01
—
7931432
AETNA
AZ
01
—
P01185628
RAILROAD MEDICARE
AZ
Enumeration date
06/27/2005
Last updated
05/15/2019
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