Individual
JOSEPH EDWARD GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3770
(559) 459-3719
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
19779
CA
363AS0400X
Surgical Physician Assistant
Primary
19779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082435
NCCPA
CA
Enumeration date
07/18/2008
Last updated
01/14/2020
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