Provider Demographics
NPI:1063523546
Name:GRETEBECK, RONDA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:RONDA
Middle Name:JEAN
Last Name:GRETEBECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1712 E ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-8256
Mailing Address - Country:US
Mailing Address - Phone:509-448-4929
Mailing Address - Fax:509-448-8025
Practice Address - Street 1:35 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2361
Practice Address - Country:US
Practice Address - Phone:509-456-6556
Practice Address - Fax:509-455-8801
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000379922080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine