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Individual

DR. GLORIA C EDREIRA-GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900
Mailing address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA06551000
NJ
207R00000X
Internal Medicine Physician
Primary
25MA06551000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8887501
NJ
Enumeration date
06/23/2006
Last updated
04/01/2014
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