Individual
GREGORY ALAN GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10401 WEST THUNDERBIRD BLVD., SUN CITY, AZ 85351
(623) 977-7211
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114277
—
AZ
Enumeration date
05/11/2006
Last updated
01/30/2008
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