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Individual

DR. GREGORY I SHENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1669 E MCMURRAY BLVD, CASA GRANDE, AZ 85222-6010
(520) 876-0297
(480) 889-3501
Mailing address
1840 W APACHE TRL, APACHE JUNCTION, AZ 85220-3728
(480) 889-3500
(480) 889-3501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24970
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002936
AZ
Enumeration date
05/04/2006
Last updated
11/02/2007
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