Provider Demographics
NPI:1083039341
Name:LO GRECO, ROBERTO G (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:G
Last Name:LO GRECO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:880 W LAS LOMITAS RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-2708
Mailing Address - Country:US
Mailing Address - Phone:520-544-2273
Mailing Address - Fax:524-544-4227
Practice Address - Street 1:7725 N ORACLE RD STE 131
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6987
Practice Address - Country:US
Practice Address - Phone:520-544-2273
Practice Address - Fax:524-544-4227
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ20293207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology