| Gregory M Crever, MD, PC | |
|
8600 E Via De Ventura Ste 101 Scottsdale AZ 85258-3324 | |
| (480) 991-3480 | |
| (480) 991-1006 |
| Full Name | Gregory M Crever, MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 8600 E Via De Ventura Ste 101, Scottsdale, Arizona |
| Authorized Official Name and Position | Gregory M Crever (PRESIDENT) |
| Authorized Official Contact | 4809913480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory M Crever, MD, PC 3370 N Hayden Rd Suite 123 Pmb 312 Scottsdale AZ 85251-6632 Ph: (480) 991-3480 | Gregory M Crever, MD, PC 8600 E Via De Ventura Ste 101 Scottsdale AZ 85258-3324 Ph: (480) 991-3480 |
| NPI Number | 1073567756 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/13/2008 |
| Medicare PECOS PAC ID | 6103837299 |
|---|---|
| Medicare Enrollment ID | O20060607000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073567756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32026 (Arizona) | Primary |
| Provider Name | Gregory M Crever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548254006 PECOS PAC ID: 1951200534 Enrollment ID: I20040102000375 |
| Provider Name | Jennifer L Prochniewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427208586 PECOS PAC ID: 0648333203 Enrollment ID: I20090108000649 |
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