Individual
GREGGORY ROBERT MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47662
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31722900
—
WI
05
—
816355
—
AZ
05
—
817863100
—
MN
Enumeration date
07/04/2006
Last updated
07/12/2013
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