Individual
GARY M ALEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 948-1641
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A65392
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A65392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368640001
DMERC
—
01
—
195690700
USDL
—
01
—
C6P159090
CGP
—
01
—
P00051180
RR MEDICARE
—
05
—
ZZZ71793Z
—
CA
Enumeration date
05/24/2006
Last updated
02/07/2024
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