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Organization

DONALD J. GREGGAIN, M.D. PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBBIE J. ALLBEE (OFFICE MANAGER)
(509) 751-1500
Entity
Organization

Contact information

Practice address
1271 HIGHLAND AVE, CLARKSTON, WA 99403-2846
(509) 751-1500
(509) 751-1504
Mailing address
1271 HIGHLAND AVE, CLARKSTON, WA 99403-2846
(509) 751-1500
(509) 751-1504

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010017948
REGENCE GROUP #
ID
01
0203406
DL&I GROUP NUMBER
WA
05
7114630
WA
01
8J935
BX/GROUP NUMBER
ID
Enumeration date
03/29/2006
Last updated
09/05/2007
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