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

Gregory C Etienne, PA

Individual provider Medical Physician Assistant · NPI 1497384168

Gregory C Etienne, PA is a Medical Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Puerto Rico.

Licensed in
AZ, PR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817
Phone: (480) 223-9314
Fax: (480) 923-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8320 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 154 (PR)

Record details

NPI number1497384168
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 5, 2020
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

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