Louis G Greco
Geriatric Medicine
55 S 63rd St Ste 6
Mesa
, Arizona 85206-1605
Louis G Greco
Geriatric Medicine
55 S 63rd St Ste 6
Mesa
, Arizona 85206-1605
(480) 981-3038
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Louis G Greco
- 55 S 63rd St Ste 6
- Mesa, AZ
- Zip : 85206-1605
- Fax : (480) 981-3038
- Phone : (480) 981-9234
Second Address
- Louis G Greco
- 55 S 63rd St Ste 6
- Mesa, AZ
- Zip : 85206-1605
- Fax : (480) 981-3038
- Phone : (480) 981-9234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 12145 | AZ |
National Provider Identifier
| NPI | 1053320390 |
|---|---|
| Provider Name | Louis G Greco |
| First Address | Mesa, AZ 85206-1605 |
| Second Address | Mesa, AZ 85206-1605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 10/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110086203 | RAILROAD PROV NUMBER (01) | AZ |
| 224494 | (05) | AZ |
| AZ0038380 | BCBS AZ PROVIDER NUMBER (01) | AZ |
| AZ5313 | HEALTHNET PROV NUMBER (01) | AZ |
| D36947 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.