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Organization
MICHAEL J. GREGSON, M.D., P.A.
Active
Organization
MICHAEL J. GREGSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. GREGSON M.D., P.A. (PHYSICIAN, OWNER)
(208) 232-8300
Entity
Organization
Contact information
Practice address
1950 E CLARK ST, SUITE C, POCATELLO, ID 83201-3314
(208) 232-8300
(208) 232-8303
Mailing address
PO BOX 4907, POCATELLO, ID 83205-4907
(208) 232-8300
(208) 232-8303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M3289
ID
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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