Healthcare Provider Details

I. General information

NPI: 1689635989
Provider Name (Legal Business Name): GREGORY M HRASKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 S MERCY RD STE 107
GILBERT AZ
85297-0420
US

IV. Provider business mailing address

P O BOX 2767
SCOTTSDALE AZ
85252-2767
US

V. Phone/Fax

Practice location:
  • Phone: 480-551-0300
  • Fax: 480-649-3746
Mailing address:
  • Phone: 480-551-0300
  • Fax: 480-649-3746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number29410
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number29410
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: