Individual
GRIGORY HORONENKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5090 N 40TH ST, SUITE 122, PHOENIX, AZ 85018-2111
(602) 264-5685
(602) 631-9870
Mailing address
5090 NORTH 40TH ST, SUITE 122, PHOENIX, AZ 85018
(602) 264-5685
(602) 631-9870
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3864
AZ
Other
Enumeration date
05/17/2006
Last updated
07/21/2010
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