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Gregg P Standage Md
Specialist in Prescott, Arizona
NPI 1235416918

Gregg P Standage Md is a Specialist based in Safford, AZ. Gregg P Standage Md practices in Prescott, AZ. The NPI Number for Gregg P Standage Md is 1235416918 and holds a License No. 22289 (Arizona).

The current practice location address for Gregg P Standage Md is 705 W Hillside Ave, Prescott, AZ and can be reached out via phone at 928-348-1374 and via fax at 928-348-1375.

Location: 705 W Hillside Ave, Prescott, AZ, 85546-4009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235416918
Provider Name
Gregg P Standage Md
Credential
Provider Entity Type
Organization
Address
705 W Hillside Ave, Prescott, AZ, 85546-4009
Phone Number
928-348-1374
Fax Number
928-348-1375
Provider Enumeration Date
11/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
356586 05 AZ
institution
Provider Business Practice Location Address Details
Address
705 W Hillside Ave
City
Prescott
State
Arizona
Zip
86301-1938
Phone Number
928-348-1374
Fax Number
928-348-1375
person
Provider Business Mailing Address Details
Address
705 W Hillside Ave
City
Prescott
State
Arizona
Zip
86301-1938
Phone Number
928-348-1374
Fax Number
928-348-1375
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22289 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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