Individual
BRIAN GRUEZO ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
1313 CAROLINA ST STE 103, GREENSBORO, NC 27401
(336) 272-2625
Mailing address
1313 CAROLINA ST STE 103, GREENSBORO, NC 27401-6003
(336) 272-2625
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2016-00470
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
2016-00470
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2012
Last updated
07/22/2018
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