Doctor Name: | ATILIO GIANGRECO |
NPI Number: | 1699757211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 26569 |
Business Practice Address: | 1951 W 25th St Suite F Yuma, AZ - 853646925 |
Business Phone Number: | 9283141174 |
Business Fax Number: | 9283141175 |
Mailing Address: | Po Box 2332, PALM SPRINGS |
State: | CA |
Postal Code: | 922632332 |
Phone Number: | 7603221205 |
Fax Number: | 7607785770 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 02/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 26569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |