Individual
MR. GREGORY J CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7727 W DEER VALLEY RD, SUITE 210, PEORIA, AZ 85382-2116
(602) 406-1200
(602) 406-1212
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648303
—
AZ
Enumeration date
08/10/2011
Last updated
04/23/2012
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