Provider Demographics
NPI:1770529737
Name:SNEEP, GREGORY E (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:E
Last Name:SNEEP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 30370
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-0370
Mailing Address - Country:US
Mailing Address - Phone:520-722-0777
Mailing Address - Fax:520-290-9713
Practice Address - Street 1:6567 E CARONDELET DR
Practice Address - Street 2:SUITE 441
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6152
Practice Address - Country:US
Practice Address - Phone:520-751-0360
Practice Address - Fax:520-751-3723
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ26559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0769170OtherBCBSAZ
AZ26559OtherAZ STATE MEDICAL LICENSE
AZ551053Medicaid
AZ26559OtherAZ STATE MEDICAL LICENSE
AZF42553Medicare UPIN