Mix, Greggory Robert

Mix, Greggory Robert is an individual health care provider with primary practice located at 1551 E Tangerine Rd , Oro Valley AZ 85755-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mix, Greggory Robert can be contacted via phone (520) 901-3500.

Contact Information

Primary practice address
1551 E Tangerine Rd Oro Valley AZ 85755-6213
Phone: (520) 901-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47662 Arizona

Profile Details

NPI number 1780614743
LBN Legal business name Mix, Greggory Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 12th, 2013 - 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 1780614743 NPPES
Minnesota MEDICAID 817863100
Minnesota MEDICAID 31722900
Minnesota MEDICAID 816355

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