Individual
DONALD GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E VALENCIA MESA, EM DEPT, FULLERTON, CA 92835
(714) 992-3965
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A75373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A753730
BLUE SHIELD
—
05
—
00A753730
—
CA
01
—
A75373
ANTHEM BLUE CROSS
CA
Enumeration date
07/10/2006
Last updated
03/12/2009
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