Healthcare Provider Details

I. General information

NPI: 1821695891
Provider Name (Legal Business Name): GREGOIRE FRANCOIS JOCELYN JR. MD, PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 W PEORIA AVE # 30
PHOENIX AZ
85029-3900
US

IV. Provider business mailing address

7010 E CHAUNCEY LN STE 225
PHOENIX AZ
85054-3117
US

V. Phone/Fax

Practice location:
  • Phone: 385-402-7500
  • Fax:
Mailing address:
  • Phone: 480-585-5200
  • Fax: 480-585-5233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10197
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberNJDCATEMP-000638
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number10197
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: