Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregg P Standage MD

Organization Specialist · NPI 1235416918

Gregg P Standage MD is a Specialist in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

705 W Hillside Ave
Prescott, AZ 86301-1938
Phone: (928) 348-1374
Fax: (928) 348-1375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22289 (AZ)

Record details

NPI number1235416918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Standage — Md · (928) 348-1374
NPI enumeratedNovember 9, 2011
Last updated in NPPESDecember 27, 2011
Mailing address1515 S 20th Ave, Safford, AZ 85546-4009

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