MEDICARE: ANTHONY DANIEL GRECO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	22688	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0789570	OTHER	AZ	BLUE CROSS BLUE SHIELD AZ
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912978867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY DANIEL GRECO MD

Provider Business Mailing Address
First Line	:	PO BOX 2260
Second Line	:
City	:	LAKESIDE
State	:	AZ
Zip	:	85929-2260
Country	:	US
Telephone Number	:	928-242-2422
Fax Number	:	928-532-8474

Provider Business Practice Location Address
First Line	:	5658 WHITE MOUNTAIN BLVD
Second Line	:	SUITE 7
City	:	LAKESIDE
State	:	AZ
Zip	:	85929-5189
Country	:	US
Telephone Number	:	928-532-5463
Fax Number	:	928-532-8474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	03/14/2016

Similar Medicare Providers

1568465995 — MRS. BOBETTE S MARTIN M.A.,CCC-A
Practice Location Address:

5658 HIGHWAY 260 , STE 4
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-7373
Practice Fax: 928-537-7377

1871564609 — LAKESIDE FAMILY HEALTH CENTER PC
Practice Location Address:

5658 HIGHWAY 260 , SUITE 24
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-4379
Practice Fax: 928-537-4653

1396716189 — CHARLES PAUL ROBERTSON M.D.
Practice Location Address:

5658 HIGHWAY 260 , SUITE 24
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-4379
Practice Fax: 928-537-4653

1073584645 — DANIEL NEEL MD
Practice Location Address:

5658 W HIGHWAY 260 , SUITE 19
LAKESIDE, AZ
85929-5189

Practice Phone: 928-532-5838
Practice Fax: 928-532-6670

1902877590 — SUSAN BLIGH ROBERTSON CNM
Practice Location Address:

5658 HIGHWAY 260 , SUITE 24
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-4379
Practice Fax: 928-537-4653

1699749481 — LAURA L VANDENHEEDE M.D.
Practice Location Address:

5658 HIGHWAY 260 , SUITE 7
LAKESIDE, AZ
85929-5189

Practice Phone: 928-537-3399
Practice Fax: 928-537-0475

Directions to “ ANTHONY DANIEL GRECO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.