Gregory Koberstein is a Pediatrics in Mesa, Arizona. Gregory Koberstein practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gregory Koberstein is 1871655001. The last update date is 2007-07-09.
Gregory Koberstein's current location address is 551 S Higley Rd, Mesa, Arizona. You can contact this provider via phone number 4808929777 and fax number 4806350222. The mailing address for Gregory Koberstein is 551 S Higley Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Koberstein |
|---|---|
| Address | 551 S Higley Rd, Mesa, Arizona |
| Phone Number | 4808929777 |
| Fax Number | 4806350222 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1871655001 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 551 S Higley Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852062148 |
| Phone Number | 4808929777 |
| Fax Number | 4806350222 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 6888 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 982331 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Koberstein by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Koberstein has been assigned the NPI (National Provider Identifier) 1871655001. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Gregory Koberstein?
The Gregory Koberstein is situated at 551 S Higley Rd, in the city of Mesa, state of AZ, with the zip code 852062148.
What is the Gregory Koberstein's specialty and taxonomy code?
The Gregory Koberstein's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When did Gregory Koberstein receive its 1871655001 assignment?
The Gregory Koberstein was assigned its 1871655001 on 2006-12-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Gregory Koberstein most recently updated or revised?
The information pertaining to Gregory Koberstein, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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