Basic Information
| Provider Information | |||||||||
| NPI: | 1639347404 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PATRICIA A GRADE, MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9070 E DESERT COVE DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852606227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808602322 | ||||||||
| FaxNumber: | 4808602433 | ||||||||
| Practice Location | |||||||||
| Address1: | 9070 E DESERT COVE DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852606227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808602322 | ||||||||
| FaxNumber: | 4808602433 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2008 | ||||||||
| LastUpdateDate: | 02/14/2008 | ||||||||
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| AuthorizedOfficialLastName: | GRADE | ||||||||
| AuthorizedOfficialFirstName: | PATRICIA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4808608980 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 28655 | AZ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.