MEDICARE: DR. MARQUIA T REDDEN-GRIER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	46532	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437311651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARQUIA T REDDEN-GRIER M.D.

Provider Business Mailing Address
First Line	:	8434 N 7TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-5507
Country	:	US
Telephone Number	:	513-633-0898
Fax Number	:

Provider Business Practice Location Address
First Line	:	21755 N 77TH AVE
Second Line	:	SUITE E-1200
City	:	PEORIA
State	:	AZ
Zip	:	85382-2111
Country	:	US
Telephone Number	:	623-907-2377
Fax Number	:	480-857-2667

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

Provider Enumeration Date	:	06/29/2008
Last Update Date	:	02/09/2016

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