Provider Demographics
NPI:1568441566
Name:GREIFF, VICKI L (MD)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:L
Last Name:GREIFF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:SUITE A100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:514 E WHITEHOUSE CANYON RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-0538
Practice Address - Country:US
Practice Address - Phone:520-625-3230
Practice Address - Fax:520-625-9162
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-02-08
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Provider Licenses
StateLicense IDTaxonomies
AZ17523207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ164385OtherAHCCCS
AZZ119029OtherMEDICARE PTAN
E98330Medicare UPIN