Individual
DR. GREGORY OLDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 HIGHWAY 89 N, PRESCOTT, AZ 86313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15934
AZ
Other
Enumeration date
08/29/2006
Last updated
10/17/2012
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