Basic Information
Provider Information
NPI: 1811080468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POST
FirstName: GRETCHEN
MiddleName: F
NamePrefix: MRS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9913 N 95TH STREET
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 85258
CountryCode: US
TelephoneNumber: 4808608998
FaxNumber: 4803779245
Practice Location
Address1: 9913 N 95TH STREET
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 85258
CountryCode: US
TelephoneNumber: 4808608998
FaxNumber: 4803779245
Other Information
ProviderEnumerationDate: 10/02/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X2876AZY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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