Gregg P Standage MD

NPI #1669495537 in Safford, Arizona

Provider Information

NPI Number: 1669495537
Entity Type: Organization
Organization Name: Gregg P Standage MD
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2006
Last Updated: Sep 21, 2007

Practice Location

Address: 1515 S 20TH AVE
City: Safford
State: Arizona
ZIP Code: 85546-4009
Phone: (928) 348-1370

Authorized Official

Name: GREGG P STANDAGE, MD
Title: OWNER
Phone: (928) 348-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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