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Organization
GARY GREGERSON MD PA
Active
Organization
GARY GREGERSON MD PA
Active
Other names
Advanced Specialty Care for Women
Organization subpart
No
Provider details
NPI number
Authorized official
GARY N GREGERSON MD (SOLE OWNER)
(208) 468-9400
Entity
Organization
Contact information
Practice address
1611 12TH AVE ROAD, SUITE A, NAMPA, ID 83686-6182
(208) 468-9400
(208) 468-9447
Mailing address
1611 12TH AVE ROAD, SUITE A, NAMPA, ID 83686-6182
(208) 468-9400
(208) 468-9447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-6312
ID
Other
Enumeration date
02/22/2012
Last updated
01/15/2014
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