Cordes, Gregory J

Cordes, Gregory J is an individual health care provider with primary practice located at 7727 W Deer Valley Rd Suite 210, Peoria AZ 85382-2116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cordes, Gregory J can be contacted via phone (602) 406-1200.

Contact Information

Primary practice address
7727 W Deer Valley Rd Suite 210 Peoria AZ 85382-2116
Phone: (602) 406-1200
Fax: (602) 406-1212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4939 Arizona

Profile Details

NPI number 1902185747
LBN Legal business name Cordes, Gregory J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Apr 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902185747 NPPES
Arizona MEDICAID 648303

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