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General NPI Number Information
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NPI Number | 1528396132
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Entity Type | Individual
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Provider Name | JESSE D GREER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 8046 E DEL CAVERNA DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2223
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Country | US
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Telephone | 602-456-2219
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 CORCORAN ST NW # 2
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City | WASHINGTON
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State | DC
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Zip | 20009-3803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 292214-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME124622
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101246259
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54983
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License Number State | AZ
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