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1235416918
GREGG P STANDAGE MD
PRESCOTT, AZ
NPI
1235416918
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Entity Type
Organization
Authorized Contact
GREGG P STANDAGE
Md
928-348-1374
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 22289)
Enumeration Date
2011-11-09
Last Update Date
2011-12-27
Business Address
GREGG P STANDAGE MD
705 W HILLSIDE AVE
PRESCOTT, AZ 86301-1938
Phone number: 928-348-1374
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Mailing Address
GREGG P STANDAGE MD
1515 S 20TH AVE
SAFFORD, AZ 85546-4009
Phone number: 928-348-1374
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