Gregg P Standage Md

LBN: Gregg P Standage Md
Gregg P Standage Md is an health care organization with primary practice located at 705 W Hillside Ave , Prescott AZ 86301-1938. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gregg P Standage Md can be contacted via phone (928) 348-1374, or through Standage, Gregg P via phone (928) 348-1374.

Contact Information

Primary practice address
705 W Hillside Ave Prescott AZ 86301-1938
Phone: (928) 348-1374
Fax: (928) 348-1375
Website:
Map and Directions
Authorized official contact:
Name: Standage, Gregg P Doctor of Medicine (MD)
Phone: (928) 348-1374

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22289 Arizona

Profile Details

NPI number 1235416918
LBN Legal business name Gregg P Standage Md
DBA Doing business as
Authorized official Standage, Gregg P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2011
Last updated Dec 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235416918 NPPES
Arizona MEDICAID 356586

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