Larissa Grebenchtchikov in Phoenix - Pain Medicine

Larissa Grebenchtchikov - NPI 1093970766

Larissa Grebenchtchikov is a Pain Medicine in Phoenix, Arizona. Larissa Grebenchtchikov practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Larissa Grebenchtchikov is 1093970766. The last update date is 2023-08-24.

Larissa Grebenchtchikov's current location address is 250 E Dunlap Ave, Phoenix, Arizona. You can contact this provider via phone number 6029432381. The mailing address for Larissa Grebenchtchikov is 250 E Dunlap Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Larissa Grebenchtchikov
Address 250 E Dunlap Ave, Phoenix, Arizona
Phone Number 6029432381
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093970766
Provider Enumeration Date 2008-07-22
Last Updated Date 2023-08-24

Provider Mailing Address Detail

Address 250 E Dunlap Ave
City Phoenix
State Arizona (AZ)
Post Code 850202825
Phone Number 6029432381
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 208Vp0000X
Licence No 3161
Definition:
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100230616 WI --

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FAQs about Larissa Grebenchtchikov

What is the unique identifier code issued to Larissa Grebenchtchikov by the Centers for Medicare & Medicaid Services (CMS)?

The Larissa Grebenchtchikov has been assigned the NPI (National Provider Identifier) 1093970766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Larissa Grebenchtchikov's facilities are geographically located?

The facilities of Larissa Grebenchtchikov are physically situated at the following location: 250 E Dunlap Ave, Phoenix, AZ, 850202825.

What is Larissa Grebenchtchikov's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Larissa Grebenchtchikov is Pain Medicine, and the corresponding taxonomy classification code for this specialized field is 208Vp0000X.

On what date did Larissa Grebenchtchikov receive its 1093970766 assignment from the Centers for Medicare & Medicaid Services?

The Larissa Grebenchtchikov was assigned its 1093970766 on 2008-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Larissa Grebenchtchikov's information last updated?

The Larissa Grebenchtchikov's information was last updated on 2023-08-24.

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