Provider Demographics
NPI:1437311651
Name:REDDEN-GRIER, MARQUIA T (MD)
Entity Type:Individual
Prefix:DR
First Name:MARQUIA
Middle Name:T
Last Name:REDDEN-GRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARQUIA
Other - Middle Name:
Other - Last Name:GRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8434 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5507
Mailing Address - Country:US
Mailing Address - Phone:513-633-0898
Mailing Address - Fax:
Practice Address - Street 1:21755 N 77TH AVE
Practice Address - Street 2:SUITE E-1200
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2111
Practice Address - Country:US
Practice Address - Phone:623-907-2377
Practice Address - Fax:480-857-2667
Is Sole Proprietor?:No
Enumeration Date:2008-06-29
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46532207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ716696Medicaid
AZZ26768Medicare UPIN