Individual
GREG A GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 227-6361
(530) 229-3703
Mailing address
738 SUNRIVER LN, REDDING, CA 96001-0166
(530) 227-6361
(530) 229-3703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A86727
CA
207Q00000X
Family Medicine Physician
A86727
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
A86727
CA
207R00000X
Internal Medicine Physician
A86727
CA
208M00000X
Hospitalist Physician
Primary
A86727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A867270
—
CA
Enumeration date
08/08/2006
Last updated
05/28/2019
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