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Organization
PAUL R. GREGORY, JR. MD
Active
Organization
PAUL R. GREGORY, JR. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R GREGORY JR. MD (OWNER)
(916) 536-9455
Entity
Organization
Contact information
Practice address
6620 COYLE AVE, SUITE 212, CARMICHAEL, CA 95608-6333
(916) 536-9455
(916) 536-9424
Mailing address
6620 COYLE AVE, SUITE 212, CARMICHAEL, CA 95608-6333
(916) 536-9455
(916) 536-9424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102720
—
CA
Enumeration date
08/29/2006
Last updated
04/08/2010
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