Organization
GREGORY T EVANGELISTA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY T EVANGELISTA M.D. (PHYSICIAN OWNER)
(480) 254-8482
Entity
Organization
Contact information
Practice address
3271 N CIVIC CENTER PLZ STE 110, SCOTTSDALE, AZ 85251-6990
(480) 656-0291
(480) 656-0127
Mailing address
PO BOX 5495, SCOTTSDALE, AZ 85261-5495
(480) 656-0291
(480) 656-0127
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
05/02/2014
Last updated
09/02/2019
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